510(k) Report

510(k) · Cleared

Cleared

ViperWire Advance Guide Wire, Stealth 360 Orbital Peripheral Atherectomy Device (PAD), DIAMONDBACK 360 Peripheral Atherectomy System

K180416510(k) TraditionalCleared Apr 17, 201861-day reviewClass II21 CFR 870.4875

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 Apr 17, 2018 as substantially equivalent to K151260 (Cardiovascular System, Inc., 2015) and 1 other predicate after a 61-day review. Its family tree reaches back 13 generations to 1987. 1 of the 24 devices in its family, counting itself, has a Class I recall.

Decided
Apr 17, 2018
Review
61 days
Class
Class II
Product code
MCW
Recalls
None
Predicates
2

Its longest line of descent runs back 13 generations to K871011 (1987). 23 ancestors in all. No later device cites it as a predicate yet. 1 of the 24 devices in this family, counting this one, has a Class I recall.

Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor4 generations back: 2 other ancestors5 generations back: 3 other ancestors6 generations back: 3 other ancestors K151260 · ViperWire Advance Guide Wire, Diamondback 360 Peripheral Orbital Atherectomy System, Stealth 360 Orbital PAD · Cardiovascular System, Inc. · 2015 · recalledK150732 · Diamondback 360 Peripheral Orbital Atherectomy System · Cardiovascular Systems, Inc. · 2015K133399 · Diamondback 360 Peripheral Orbital Atherectomy System · Cardiovascular Systems Incorporated · 2013 · Class I recallK131092 · Stealth 360 Orbital Pad System · Cardio Systems, Inc. · 2013K122987 · Stealth 360 Orbital Pad System · Cardiovascular Systems, Inc. · 2012K110389 · Stealth 360 Orbital Pad System · Cardiovascular Systems, Inc. · 2011 · recalledK090521 · Diamondback 360 DBX · Cardiovascular Systems, Inc. · 2009 · recalledK081944 · Modification to Diamondback 360 Degree Orbital Atherectomy System · Cardio Systems, Inc. · 2008K072748 · Modification to: Diamondback 360 Orbital Atherectomy System · Cardiovascular Systems, Inc. · 2007K071350 · Diamondback 360 Degree Orbital Atherectomy System · Cardiovascular Systems, Inc. · 2007K043553 · Silverhawk Peripheral Plaque Excision System, Models 02550,04800, 05200, 02406, 04706, 04300 · Fox Hollow Technologies · 2005K024243 · Reform Peripheral Catheter System, Model 02200; Reform Peripheral Cathetercatheter, Model 02406 · Fox Hollow Technologies · 2003 · recalledK871011 · Simpson Peripheral Atherocath (TM) · Devices For Vascular Intervention, Inc. · 1987−10−50
  1. Root · 13 generations backK871011 Simpson Peripheral Atherocath (TM)Devices For Vascular Intervention, Inc. · 1987
  2. 9 generations between
  3. 3 generations backK133399 Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems Incorporated · 2013 · Recalled (Class I)
  4. 2 generations backK150732 Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2015
  5. 1 generation backK151260 ViperWire Advance Guide Wire, Diamondback 360 Peripheral Orbital…Cardiovascular System, Inc. · 2015 · Recalled
  6. This deviceK180416 ViperWire Advance Guide Wire, Stealth 360 Orbital Peripheral…Cardiovascular Systems, Inc. · 2018
Show all 13 generations
  1. Root · 13 generations backK871011 Simpson Peripheral Atherocath (TM)Devices For Vascular Intervention, Inc. · 1987
  2. 12 generations backK024243 Reform Peripheral Catheter System, Model 02200; Reform Peripheral…Fox Hollow Technologies · 2003 · Recalled
  3. 11 generations backK043553 Silverhawk Peripheral Plaque Excision System, Models 02550,04800…Fox Hollow Technologies · 2005
  4. 10 generations backK071350 Diamondback 360 Degree Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2007
  5. 9 generations backK072748 Modification to: Diamondback 360 Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2007
  6. 8 generations backK081944 Modification to Diamondback 360 Degree Orbital Atherectomy SystemCardio Systems, Inc. · 2008
  7. 7 generations backK090521 Diamondback 360 DBXCardiovascular Systems, Inc. · 2009 · Recalled
  8. 6 generations backK110389 Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc. · 2011 · Recalled
  9. 5 generations backK122987 Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc. · 2012
  10. 4 generations backK131092 Stealth 360 Orbital Pad SystemCardio Systems, Inc. · 2013
  11. 3 generations backK133399 Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems Incorporated · 2013 · Recalled (Class I)
  12. 2 generations backK150732 Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc. · 2015
  13. 1 generation backK151260 ViperWire Advance Guide Wire, Diamondback 360 Peripheral Orbital…Cardiovascular System, Inc. · 2015 · Recalled
  14. This deviceK180416 ViperWire Advance Guide Wire, Stealth 360 Orbital Peripheral…Cardiovascular Systems, Inc. · 2018

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K871011Simpson Peripheral Atherocath (TM)Devices For Vascular Intervention, Inc.1987—
−12K024243Reform Peripheral Catheter System, Model 02200; Reform Peripheral…Fox Hollow Technologies20031
−11K043553Silverhawk Peripheral Plaque Excision System, Models 02550,04800, 05200…Fox Hollow Technologies2005—
−10K071350Diamondback 360 Degree Orbital Atherectomy SystemCardiovascular Systems, Inc.2007—
−9K072748Modification to: Diamondback 360 Orbital Atherectomy SystemCardiovascular Systems, Inc.2007—
−8K081944Modification to Diamondback 360 Degree Orbital Atherectomy SystemCardio Systems, Inc.2008—
−7K090521Diamondback 360 DBXCardiovascular Systems, Inc.20092
−6K110389Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc.20111
−5K122987Stealth 360 Orbital Pad SystemCardiovascular Systems, Inc.2012—
−4K131092Stealth 360 Orbital Pad SystemCardio Systems, Inc.2013—
−3K133399Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems Incorporated2013Class I
−2K150732Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems, Inc.2015—
−1K151260ViperWire Advance Guide Wire, Diamondback 360 Peripheral Orbital Atherectomy…Cardiovascular System, Inc.20152
0 (this device)K180416ViperWire Advance Guide Wire, Stealth 360 Orbital Peripheral Atherectomy…Cardiovascular Systems, Inc.2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198830
199010
199720
200510
200710
201510
201710
FIG. 1 — Lineage of K180416, 1987–2018Source: 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.

1 device in this family has 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 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? (2)

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
*K151260ViperWire Advance Guide Wire, Diamondback 360 Peripheral Orbital Atherectomy System…
Summary page 4
…Regulation: 21 CFR 870.4875—Intraluminal Artery Stripper Classification: II Primary Predicate: 510(k) Number: K151260 Manufacturer: Cardiovascular Systems, Inc. Trade Na…
Cardiovascular System, Inc.20152
*K170792Diamondback 360 Peripheral Orbital Atherectomy System
Summary page 4
…360® Peripheral Orbital Atherectomy System Additional Reference Predicate: 510(k) Number: K170792 Manufacturer: Cardiovascular Systems, Inc. Trade Na…
Cardiovascular Systems, Inc.2017—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

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.

  • K133399Diamondback 360 Peripheral Orbital Atherectomy SystemCardiovascular Systems Incorporated · 2013 · 2 generations back · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 31 years and passes through 6 companies; a new generation was cleared every 1.4 years on median.
  • 7 of the 23 ancestors have a recall of any class; 1 has a Class I recall.

How does its category compare?

All MCW devices

MCW Catheter, Peripheral, Atherectomy: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, 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 Stealth 360 Orbital PAD System and the Diamondback 360 Peripheral Orbital Atherectomy System are percutaneous orbital atherectomy systems 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. “K180416: ViperWire Advance Guide Wire, Stealth 360 Orbital Peripheral Atherectomy Device (PAD), DIAMONDBACK 360 Peripheral 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/K180416

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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