510(k) Report

510(k) · Cleared

Cleared

Tri-Ex Extraction Balloon With Multiple Sizing

K170292510(k) SpecialCleared Sep 20, 2017232-day reviewClass II21 CFR 876.5010

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

Wilson-Cook Medical, Inc. · GCA Biliary Catheter For Stone Removal That May Also Allow For Irrigation And Contrast Injection

Cleared on Sep 20, 2017 as substantially equivalent to K040129 (Wilson-Cook Medical, Inc., 2004) after a 232-day review. Its family tree reaches back 2 generations to 1995. 6 later devices descend from it.

Decided
Sep 20, 2017
Review
232 days
Class
Class II
Product code
GCA
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K953951 (1995). 6 later devices descend from it, 3 citing it directly.

Descendants, by year cleared 2020: 1 descendant cleared2019: 1 descendant cleared2018: 1 descendant cleared2021: 1 descendant cleared2026: 1 descendant cleared2024: 1 descendant clearedK953951 · Wilson-Cook Triple Lumen Balloon Stone Extractor · Wilson-Cook Medical, Inc. · 1995 · recalledK040129 · Tri-EX Extraction Balloon with Multiple Sizing · Wilson-Cook Medical, Inc. · 20041995200020052010201520202025
Descendants, by generation 1 generation forward: 3 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant K040129 · Tri-EX Extraction Balloon with Multiple Sizing · Wilson-Cook Medical, Inc. · 2004K953951 · Wilson-Cook Triple Lumen Balloon Stone Extractor · Wilson-Cook Medical, Inc. · 1995 · recalled0
  1. Root · 2 generations backK953951 Wilson-Cook Triple Lumen Balloon Stone ExtractorWilson-Cook Medical, Inc. · 1995 · Recalled
  2. 1 generation backK040129 Tri-EX Extraction Balloon with Multiple SizingWilson-Cook Medical, Inc. · 2004
  3. This deviceK170292 Tri-Ex Extraction Balloon With Multiple SizingWilson-Cook Medical, Inc. · 2017
  4. Descendant · cites it directly · 3 of its ownK200173 Stone Retrieval BalloonHangzhou AGS MedTech Co., Ltd. · 2020
  5. Descendant · 2 generations on · 1 of its ownK210660 Stone Retrieval Balloon CatheterAnrei Medical (Hangzhou) Co., Ltd. · 2021
  6. Descendant · 2 generations on · 0 of its ownK253013 Disposable Stone Retrieval Balloon CatheterZhejiang Soudon Medical Technology Co., Ltd. · 2026
  7. Descendant · 3 generations on · 0 of its ownK232752 Stone Extraction Balloon…Jiangsu Vedkang Medical Science and Technology Co., Ltd. · 2024
  8. Descendant · cites it directly · 0 of its ownK193344 Tri-Ex Extraction Balloon with Multiple SizingWilson-Cook Medical, Inc. · 2019

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2018: 12019: 12020: 12021: 12024: 12026: 1
2018high 1 (2018) · low 0 (2022)2026

Most influential descendants

Showing 5 of 6 · See all
  • K200173Stone Retrieval BalloonHangzhou AGS MedTech Co., Ltd. · 2020 · cites it directly3descendants
  • K210660Stone Retrieval Balloon CatheterAnrei Medical (Hangzhou) Co., Ltd. · 2021 · 2 generations on1descendant
  • K253013Disposable Stone Retrieval Balloon CatheterZhejiang Soudon Medical Technology Co., Ltd. · 2026 · 2 generations on0descendants
  • K232752Stone Extraction Balloon…Jiangsu Vedkang Medical Science and Technology Co., Ltd. · 2024 · 3 generations on0descendants
  • K193344Tri-Ex Extraction Balloon with Multiple SizingWilson-Cook Medical, Inc. · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K953951Wilson-Cook Triple Lumen Balloon Stone ExtractorWilson-Cook Medical, Inc.19951
−1K040129Tri-EX Extraction Balloon with Multiple SizingWilson-Cook Medical, Inc.2004—
0 (this device)K170292Tri-Ex Extraction Balloon With Multiple SizingWilson-Cook Medical, Inc.2017—
+1K200173Stone Retrieval BalloonHangzhou AGS MedTech Co., Ltd.2020—
+2K210660Stone Retrieval Balloon CatheterAnrei Medical (Hangzhou) Co., Ltd.2021—
+2K253013Disposable Stone Retrieval Balloon CatheterZhejiang Soudon Medical Technology Co., Ltd.2026—
+3K232752Stone Extraction Balloon…Jiangsu Vedkang Medical Science and Technology Co., Ltd.2024—
+1K193344Tri-Ex Extraction Balloon with Multiple SizingWilson-Cook Medical, Inc.2019—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201810
201910
202010
202110
202410
202610
FIG. 1 — Lineage of K170292, 1995–2026Source: 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 GCA? 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 GCA device

  1. #1 K253013 Disposable Stone Retrieval Balloon Catheterscore 12.2 · 4 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
*K040129Tri-EX Extraction Balloon with Multiple Sizing
Summary page 4
…21 CFR 876.5010, GCA, Class II Predicate Device: Wilson-Cook Tri-Ex Extraction Balloon with Multiple Sizing, K040129, 02/27/2004 Intended Use This device is used for endoscopic removal of biliary stones and for contrast injection. Device Descri…
Wilson-Cook Medical, Inc.2004—

Also cleared against K040129: 1 other device →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K200173Stone Retrieval BalloonHangzhou AGS MedTech Co., Ltd.20203
K193344Tri-Ex Extraction Balloon with Multiple SizingWilson-Cook Medical, Inc.20190
K173659Howell D.A.S.H Extraction Balloon with Multiple SizingWilson-Cook Medical, Inc.20180

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

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 22 years and passes through 1 company; a new generation was cleared every 13.6 years on median.
  • 1 of the 2 ancestors has a recall of any class.
  • Of its descendants, K200173 (Hangzhou AGS MedTech Co., Ltd., 2020) has gone furthest, with 3 descendants of its own.
  • 1 other device also cites its predicate K040129.

How does its category compare?

All GCA devices

GCA Biliary Catheter For Stone Removal That May Also Allow For Irrigation And Contrast Injection: FDA decisions, review times, recalls and adverse event reports over 20 years. 2017, this device’s year, is highlighted.

FDA decisions per year · GCA

1in 2024

2007: 12017: 12018: 22019: 12020: 22021: 12022: 12024: 12026 (partial year): 1
2007high 2 (2018) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GCA

Too few GCA 510(k)s in any year since 2007 to give a median.

Recalls per year · GCA

No recall names GCA since 2007.

Adverse event reports per year · GCA

24in 2025

2007: 62008: 362009: 342010: 122011: 102012: 92013: 102014: 112015: 202016: 142017: 852018: 382019: 382020: 202021: 82022: 182023: 112024: 142025: 24
2007high 85 (2017) · low 6 (2007)2025

MAUDE reports naming product code GCA, 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—06
20080—036
20090—034
20100—012
20110—010
20120—09
20130—010
20140—011
20150—020
20160—014
20171—085
20182—038
20191—038
20202—020
20211—08
20221—018
20230—011
20241—014
20250—024
20261—0—

What is it indicated for?

This device is used for endoscopic removal of biliary stones and contrast injection.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K170292: Tri-Ex Extraction Balloon With Multiple Sizing.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K170292

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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