510(k) Report

510(k) · Cleared

Recalled · Class I · 2026

ENROUTE Transcarotid Neuroprotection System

K153485510(k) TraditionalCleared Mar 10, 201698-day reviewClass II21 CFR 870.1250Recalls 1 (1 Class I)

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

Silk Road Medical, Inc. · NTE Temporary Carotid Catheter For Embolic Capture

Cleared on Mar 10, 2016 as substantially equivalent to K143072 (Silk Road Medical, Inc., 2015) after a 98-day review. Its family tree reaches back 7 generations to 2001. 2 of the 31 devices in its family, counting itself, have a Class I recall. 1 later device descends from it. It has been recalled once, including a Class I recall.

Decided
Mar 10, 2016
Review
98 days
Class
Class II
Product code
NTE
Recalls
1 (1 Class I)
Predicates
1

Its longest line of descent runs back 7 generations to K003992 (2001). 29 ancestors in all, the oldest K990487 (1999). 1 later device descends from it, 1 citing it directly. 2 of the 31 devices in this family, counting this one, have a Class I recall.

  1. Root · 7 generations backK003992 Percusurge Guardwire Temporary Occlusion and Aspiration SystemPercu Surge, Inc. · 2001
  2. 6 generations backK023691 Boston Scientific Filterwire EX EmbolicBoston Scientific Epi · 2003
  3. 5 generations backK042218 Accunet Embolic Protection System, RX Accunet Embolic Protection…Guidant Corp. · 2004
  4. 4 generations backK052166 Modification to: RX Accunet Embolic Protection SystemGuidant Corporation · 2005
  5. 3 generations backK072990 Guardwire Temporary Occlusion and Aspiration System- CarotidMedtronic, Inc. · 2007
  6. 2 generations backK083300 Gore Flow Reversal SystemW. L. Gore & Associates, Inc. · 2009
  7. 1 generation backK143072 ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc. · 2015
  8. This deviceK153485 ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc. · 2016
  9. Descendant · cites it directly · 0 of its ownK230402 ENROUTE® Transcarotid Neuroprotection SystemSilk Road Medical · 2023 · Recalled (Class I)

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K230402ENROUTE® Transcarotid Neuroprotection SystemSilk Road Medical · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K003992Percusurge Guardwire Temporary Occlusion and Aspiration SystemPercu Surge, Inc.2001—
−6K023691Boston Scientific Filterwire EX EmbolicBoston Scientific Epi2003—
−5K042218Accunet Embolic Protection System, RX Accunet Embolic Protection SystemGuidant Corp.2004—
−4K052166Modification to: RX Accunet Embolic Protection SystemGuidant Corporation2005—
−3K072990Guardwire Temporary Occlusion and Aspiration System- CarotidMedtronic, Inc.2007—
−2K083300Gore Flow Reversal SystemW. L. Gore & Associates, Inc.2009—
−1K143072ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc.2015—
0 (this device)K153485ENROUTE Transcarotid Neuroprotection SystemSilk Road Medical, Inc.2016—
+1K230402ENROUTE® Transcarotid Neuroprotection SystemSilk Road Medical2023Class I

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199920
200150
200250
200330
200430
200510
200620
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202311
FIG. 1 — Lineage of K153485, 2001–2023Source: 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.

2 devices in this family have a Class I recall. 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 NTE device

  1. #1 K222694 EmPro EPS (EP4514C-190…score 6.4 · 5 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K143072ENROUTE Transcarotid Neuroprotection System
Summary page 4
…Common Name: Temporary carotid catheter for embolic capture Predicate Device Premarket Notification K143072 # Predicate Device Classification: 21 CFR§ 870.1250 Predicate Device Classification & Class II,…
Silk Road Medical, Inc.2015—

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K230402ENROUTE® Transcarotid Neuroprotection System Class ISilk Road Medical20230

Has anything in its family been recalled? (2 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jul 9, 2026Class IZ-2977-2026Under Investigation by firmPotential for arterial sheath tip separation or partial tip separation during use.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K230402ENROUTE® Transcarotid Neuroprotection SystemSilk Road Medical · 2023 · Cites it directly · ◆ in the 2023 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 15 years and passes through 7 companies; a new generation was cleared every 1.3 years on median.
  • 4 of the 29 ancestors have a recall of any class.
  • Of its descendants, K230402 (Silk Road Medical, 2023) has gone furthest, with 0 descendants of its own.

How does its category compare?

All NTE devices

NTE Temporary Carotid Catheter For Embolic Capture: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, this device’s year, is highlighted.

FDA decisions per year · NTE

2in 2023

2007: 12008: 32009: 32010: 12011: 42012: 32014: 12015: 32016: 12018: 12019: 12020: 12021: 12022: 12023: 2
2007high 4 (2011) · low 0 (2013)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NTE

105in 2015

2008: 95 days median2009: 86 days median2011: 105 days median2012: 30 days median2015: 105 days median
2007high 105 (2011) · low 30 (2012)2026

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

Recalls per year · NTE

3in 2023

2008: 62011: 12021: 1, 1 Class I2023: 32026 (partial year): 2, 2 Class I
2007high 6 (2008) · low 0 (2007)2026

Class I (3 since 2007) Class II/III not classified

Adverse event reports per year · NTE

405in 2025

2007: 1192008: 3682009: 3432010: 2942011: 3042012: 2612013: 2582014: 1992015: 1482016: 1482017: 1412018: 1582019: 2332020: 2382021: 3272022: 3262023: 3542024: 3982025: 405
2007high 405 (2025) · low 119 (2007)2025

MAUDE reports naming product code NTE, 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
20071—0119
20083956368
20093860343
20101—0294
201141051304
20123300261
20130—0258
20141—0199
201531050148
20161—0148
20170—0141
20181—0158
20191—0233
20201—0238
20211—1 (1)327
20221—0326
20232—3354
20240—0398
20250—0405
20260—2 (2)—

What is it indicated for?

The ENROUTE Transcarotid Neuroprotection System (ENROUTE Transcarotid NPS) is intended to provide transcarotid vascular access, introduction of diagnostic agents and therapeutic devices, and embolic protection during carotid artery angioplasty and stenting procedures for patients diagnosed with carotid artery stenosis and who have appropriate anatomy described below:

Adequate femoral venous access;

Common carotid artery reference diameter of at least 6 mm;

Carotid bifurcation is a minimum of 5 cm above the clavicle as measured by duplex Doppler ultrasound (DUS) or computerized axial tomography (CT) angiography or magnetic resonance (MR) angiography.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K153485: ENROUTE Transcarotid Neuroprotection System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K153485

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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