510(k) Report

510(k) · Cleared

Recalled · Class II · 2017

Diamondback 360 Peripheral Orbital Atherectomy System

K152694510(k) SpecialCleared Oct 21, 201530-day reviewClass II21 CFR 870.4875Recalls 3

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Cardiovascular Systems, Inc. · MCW Catheter, Peripheral, Atherectomy

Cleared on Oct 21, 2015 as substantially equivalent to K110389 (Cardiovascular Systems, Inc., 2011) after a 30-day review. Its family tree reaches back 8 generations to 1987. 8 later devices descend from it. It has been recalled 3 times.

Decided
Oct 21, 2015
Review
30 days
Class
Class II
Product code
MCW
Recalls
3
Predicates
1

Its longest line of descent runs back 8 generations to K871011 (1987). 16 ancestors in all. 8 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2005: 1 other ancestor1990: 1 other ancestor2007: 1 other ancestor1997: 2 other ancestors1988: 3 other ancestors2017: 1 descendant cleared2018: 2 descendants cleared2019: 1 descendant cleared2020: 1 descendant cleared2022: 2 descendants cleared2021: 1 descendant clearedReference device: K122987 · Stealth 360 Orbital Pad System · Cardiovascular Systems, Inc. · 2012Reference device: K131092 · Stealth 360 Orbital Pad System · Cardio Systems, Inc. · 2013Reference device: K151260 · ViperWire Advance Guide Wire, Diamondback 360 Peripheral Orbital Atherectomy System, Stealth 360 Orbital PAD · Cardiovascular System, Inc. · 2015 · recalledReference device: K150732 · Diamondback 360 Peripheral Orbital Atherectomy System · Cardiovascular Systems, Inc. · 2015K871011 · Simpson Peripheral Atherocath (TM) · Devices For Vascular Intervention, Inc. · 1987K024243 · Reform Peripheral Catheter System, Model 02200; Reform Peripheral Cathetercatheter, Model 02406 · Fox Hollow Technologies · 2003 · recalledK043553 · Silverhawk Peripheral Plaque Excision System, Models 02550,04800, 05200, 02406, 04706, 04300 · Fox Hollow Technologies · 2005×2: 2 generations cleared close together, K071350 (2007), K072748 (2007) K081944 · Modification to Diamondback 360 Degree Orbital Atherectomy System · Cardio Systems, Inc. · 2008K090521 · Diamondback 360 DBX · Cardiovascular Systems, Inc. · 2009 · recalledK110389 · Stealth 360 Orbital Pad System · Cardiovascular Systems, Inc. · 2011 · recalled1990200020102020
  1. Root · 8 generations backK871011 Simpson Peripheral Atherocath (TM)Devices For Vascular Intervention, Inc. · 1987
  2. 7 generations backK024243 Reform Peripheral Catheter System, Model 02200; Reform Peripheral…Fox Hollow Technologies · 2003 · Recalled
  3. 6 generations backK043553 Silverhawk Peripheral Plaque Excision System, Models 02550,04800…Fox Hollow Technologies · 2005
  4. 5 generations backK071350 Diamondback 360 Degree Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2007
  5. 4 generations backK072748 Modification to: Diamondback 360 Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2007
  6. 3 generations backK081944 Modification to Diamondback 360 Degree Orbital Atherectomy SystemCardio Systems, Inc. · 2008
  7. 2 generations backK090521 Diamondback 360 DBXCardiovascular Systems, Inc. · 2009 · Recalled
  8. 1 generation backK110389 Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc. · 2011 · Recalled
  9. This deviceK152694 Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2015
  10. Descendant · cites it directly · 4 of its ownK190634 Diamondback 360 Peripheral Orbital Atherectomy System, Stealth 360…Cardiovascular Systems, Inc. · 2019 · Recalled
  11. Descendant · cites it directly · 3 of its ownK182397 Diamondback 360 Peripheral Orbital Atherectomy System Exchangeable…Cardiovascular Systems, Inc. · 2018
  12. Descendant · 2 generations on · 1 of its ownK203008 DIAMONDBACK 360 Peripheral Orbital Atherectomy System, DIAMONDBACK…Cardiovascular Systems, Inc. · 2020
  13. Descendant · cites it directly · 1 of its ownK170792 Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2017
  14. Descendant · 3 generations on · 0 of its ownK220568 Diamondback 360 Peripheral Orbital Atherectomy System, Stealth 360…Cardiovascualr Systems, Inc. · 2022

Showing 5 of 8 descendants. See all descendants

Descendants cleared per year

2017: 12018: 22019: 12020: 12021: 12022: 2
2017high 2 (2018) · low 0 (2023)2026

Most influential descendants

Showing 5 of 8 · See all
  • K190634Diamondback 360 Peripheral Orbital Atherectomy System, Stealth 360 Peripheral Orbital…Cardiovascular Systems, Inc. · 2019 · cites it directly4descendants
  • K182397Diamondback 360 Peripheral Orbital Atherectomy System Exchangeable SeriesCardiovascular Systems, Inc. · 2018 · cites it directly3descendants
  • K203008DIAMONDBACK 360 Peripheral Orbital Atherectomy System, DIAMONDBACK 360 Peripheral…Cardiovascular Systems, Inc. · 2020 · 2 generations on1descendant
  • K170792Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2017 · cites it directly1descendant
  • K220568Diamondback 360 Peripheral Orbital Atherectomy System, Stealth 360 Peripheral Orbital…Cardiovascualr Systems, Inc. · 2022 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K871011Simpson Peripheral Atherocath (TM)Devices For Vascular Intervention, Inc.1987—
−7K024243Reform Peripheral Catheter System, Model 02200; Reform Peripheral…Fox Hollow Technologies20031
−6K043553Silverhawk Peripheral Plaque Excision System, Models 02550,04800, 05200…Fox Hollow Technologies2005—
−5K071350Diamondback 360 Degree Orbital Atherectomy SystemCardiovascular Systems, Inc.2007—
−4K072748Modification to: Diamondback 360 Orbital Atherectomy SystemCardiovascular Systems, Inc.2007—
−3K081944Modification to Diamondback 360 Degree Orbital Atherectomy SystemCardio Systems, Inc.2008—
−2K090521Diamondback 360 DBXCardiovascular Systems, Inc.20092
−1K110389Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc.20111
0 (this device)K152694Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc.2015—
+1K190634Diamondback 360 Peripheral Orbital Atherectomy System, Stealth 360 Peripheral…Cardiovascular Systems, Inc.20192
+1K182397Diamondback 360 Peripheral Orbital Atherectomy System Exchangeable SeriesCardiovascular Systems, Inc.2018—
+2K203008DIAMONDBACK 360 Peripheral Orbital Atherectomy System, DIAMONDBACK 360…Cardiovascular Systems, Inc.2020—
+1K170792Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc.2017—
+3K220568Diamondback 360 Peripheral Orbital Atherectomy System, Stealth 360 Peripheral…Cardiovascualr Systems, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198830
199010
199720
200510
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
201820
201910
202010
202110
202220
FIG. 1 — Lineage of K152694, 1987–2022Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in MCW? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new MCW device

  1. #1 K233668 Auryon Atherectomy Catheter 1.5 mm XL…score 17.6 · 18 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K110389Stealth 360 Orbital Pad System
Summary page 5
…ation Regulation: 21 CFR 870.4875—Intraluminal Artery Stripper Classification: II Primary Predicate Device: 510(k) Number: K110389 Manufacturer: Cardiovascular Systems, Inc. Trade Name: Stealth 360°…
Cardiovascular Systems, Inc.20111
†K122987Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc.2012—
†K131092Stealth 360 Orbital Pad SystemCardio Systems, Inc.2013—
†K151260ViperWire Advance Guide Wire, Diamondback 360 Peripheral Orbital Atherectomy System…Cardiovascular System, Inc.20152
†K150732Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc.2015—

Also cleared against K110389: 8 other devices →

What descends from it? (8)

3 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K190634Diamondback 360 Peripheral Orbital Atherectomy System, Stealth 360 Peripheral Orbital…Cardiovascular Systems, Inc.20194
K182397Diamondback 360 Peripheral Orbital Atherectomy System Exchangeable SeriesCardiovascular Systems, Inc.20183
K170792Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc.20171

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Sep 14, 2017Class IIZ-0505-2018Labeling mix-upsCardiovascular Systems, Inc. (CSI) is removing the products because it was identified that the labeling for two lots of product s were potentially inadvertently switched during production.
Sep 14, 2017Class IIZ-0506-2018Labeling mix-upsCardiovascular Systems, Inc. (CSI) is removing the products because it was identified that the labeling for two lots of product s were potentially inadvertently switched during production.
Dec 7, 2016Class IIZ-1230-2017Employee errorCSI discovered that a 1.50mm Solid Crown OAD was labeled as a 1.50mm Crown OED.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 28 years and passes through 4 companies; a new generation was cleared every 2.0 years on median.
  • 4 of the 16 ancestors have a recall of any class.
  • Of its descendants, K190634 (Cardiovascular Systems, Inc., 2019) has gone furthest, with 4 descendants of its own.
  • 8 other devices also cite its predicate K110389.

How does its category compare?

All MCW devices

MCW Catheter, Peripheral, Atherectomy: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · MCW

3in 2025

2007: 52008: 62009: 82010: 62011: 62012: 52013: 52014: 72015: 62016: 52017: 72018: 82019: 32020: 22021: 62022: 62023: 42024: 32025: 32026 (partial year): 1
2007high 8 (2009) · low 2 (2020)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MCW

46in 2025

2007: 43 days median2008: 33 days median2009: 27 days median2010: 30 days median2011: 39 days median2012: 29 days median2013: 30 days median2014: 117 days median2015: 30 days median2016: 60 days median2017: 91 days median2018: 103 days median2019: 112 days median2021: 119 days median2022: 69 days median2023: 104 days median2024: 41 days median2025: 46 days median
2007high 119 (2021) · low 27 (2009)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · MCW

2in 2024

2007: 22008: 12009: 32010: 12016: 22017: 22021: 2, 2 Class I2022: 2, 2 Class I2023: 12024: 2
2007high 3 (2009) · low 0 (2011)2026

Class I (4 since 2007) Class II/III not classified

Adverse event reports per year · MCW

677in 2025

2007: 502008: 1152009: 1052010: 1672011: 2042012: 1942013: 1342014: 2102015: 3772016: 4092017: 4152018: 5372019: 6182020: 6312021: 7342022: 5662023: 5742024: 6772025: 677
2007high 734 (2021) · low 50 (2007)2025

MAUDE reports naming product code MCW, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
2007543250
20086331115
20098273105
20106301167
20116390204
20125290194
20135300134
201471170210
20156300377
20165602409
20177912415
201881030537
201931120618
20202—0631
202161192 (2)734
20226692 (2)566
202341041574
20243412677
20253460677
20261—0—

What is it indicated for?

The Diamondback 360 Peripheral Orbital Atherectomy System is a percutaneous orbital atherectomy system indicated for use as therapy in patients with occlusive atherosclerotic disease in peripheral arteries and who are acceptable candidates for percutaneous transluminal atherectomy.

The OAS supports removal of stenotic material from artificial arteriovenous dialysis fistulae (AV shunt). The OAS is a percutaneous orbital atherectomy system indicated as a therapy in patients with occluded hemodialysis grafts who are acceptable candidates for percutaneous transluminal angioplasty.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K152694: Diamondback 360 Peripheral Orbital Atherectomy System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K152694

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026