510(k) Report

510(k) · Cleared

Recalled · Class II · 2024

AXIOS Stent and Delivery System, AXIOS Stent and Electrocautery Enhanced Delivery System

K181905510(k) TraditionalCleared Mar 25, 2019252-day reviewClass II21 CFR 876.5015Recalls 8

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

Boston Scientific Corporation · PCU Pancreatic Stent, Covered, Metallic, Removable

Cleared on Mar 25, 2019 as substantially equivalent to K153088 (Boston Scientific Corporation, 2015) and 1 other predicate after a 252-day review. Its family tree reaches back 7 generations to 1997. 4 later devices descend from it. It has been recalled 8 times.

Decided
Mar 25, 2019
Review
252 days
Class
Class II
Product code
PCU
Recalls
8
Predicates
2

Its longest line of descent runs back 7 generations to K970053 (1997). 11 ancestors in all. 4 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2014: 1 other ancestor2013: 1 other ancestor1997: 2 other ancestors2022: 1 descendant cleared2021: 1 descendant cleared2019: 1 descendant cleared2026: 1 descendant clearedK970053 · Ultratomerx · Boston Scientific Corp · 1997K013153 · Autotome RX Model # 4515, 4516 · Boston Scientific Corp · 2001 · recalledK022595 · Wilson-Cook Cystotome · Wilson-Cook Medical, Inc. · 2002×3: 3 generations cleared close together, K150692 (2015), K152572 (2015), K153088 (2015) K163272 · AXIOS Stent and Electrocautery Enhanced Delivery System · Boston Scientific Corporation · 20171995200020052010201520202025
  1. Root · 7 generations backK970053 UltratomerxBoston Scientific Corp · 1997
  2. 6 generations backK013153 Autotome RX Model # 4515, 4516Boston Scientific Corp · 2001 · Recalled
  3. 5 generations backK022595 Wilson-Cook CystotomeWilson-Cook Medical, Inc. · 2002
  4. 4 generations backK150692 AXIOS Stent with Electrocautery Enhanced Delivery SystemBoston Scientific Corp · 2015
  5. 3 generations backK152572 AXIOS Stent and Delivery SystemBoston Scientific Corporation · 2015
  6. 2 generations backK153088 AXIOS Stent with Delivery System, AXIOS Stent with Electro-cautery…Boston Scientific Corporation · 2015
  7. 1 generation backK163272 AXIOS Stent and Electrocautery Enhanced Delivery SystemBoston Scientific Corporation · 2017
  8. This deviceK181905 AXIOS Stent and Delivery System, AXIOS Stent and Electrocautery…Boston Scientific Corporation · 2019
  9. Descendant · cites it directly · 2 of its ownK192043 AXIOS Stent and Electrocautery Enhanced Delivery SystemBoston Scientific Corporation · 2019
  10. Descendant · cites it directly · 1 of its ownK220112 AXIOS Stent and Electrocautery-Enhanced Delivery SystemBoston Scientific Corporation · 2022
  11. Descendant · cites it directly · 1 of its ownK203132 AXIOS Stent and Electrocautery Enhanced Delivery SystemBoston Scientific Corporation · 2021
  12. Descendant · 2 generations on · 0 of its ownK252648 Niti-S SPAXUS StentTaewoong Medical Co., Ltd. · 2026

Most influential descendants

Showing 4 of 4 · See all
  • K192043AXIOS Stent and Electrocautery Enhanced Delivery SystemBoston Scientific Corporation · 2019 · cites it directly2descendants
  • K220112AXIOS Stent and Electrocautery-Enhanced Delivery SystemBoston Scientific Corporation · 2022 · cites it directly1descendant
  • K203132AXIOS Stent and Electrocautery Enhanced Delivery SystemBoston Scientific Corporation · 2021 · cites it directly1descendant
  • K252648Niti-S SPAXUS StentTaewoong Medical Co., Ltd. · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K970053UltratomerxBoston Scientific Corp1997—
−6K013153Autotome RX Model # 4515, 4516Boston Scientific Corp200132
−5K022595Wilson-Cook CystotomeWilson-Cook Medical, Inc.2002—
−4K150692AXIOS Stent with Electrocautery Enhanced Delivery SystemBoston Scientific Corp2015—
−3K152572AXIOS Stent and Delivery SystemBoston Scientific Corporation2015—
−2K153088AXIOS Stent with Delivery System, AXIOS Stent with Electro-cautery Enhanced…Boston Scientific Corporation2015—
−1K163272AXIOS Stent and Electrocautery Enhanced Delivery SystemBoston Scientific Corporation2017—
0 (this device)K181905AXIOS Stent and Delivery System, AXIOS Stent and Electrocautery Enhanced…Boston Scientific Corporation2019—
+1K192043AXIOS Stent and Electrocautery Enhanced Delivery SystemBoston Scientific Corporation2019—
+1K220112AXIOS Stent and Electrocautery-Enhanced Delivery SystemBoston Scientific Corporation2022—
+1K203132AXIOS Stent and Electrocautery Enhanced Delivery SystemBoston Scientific Corporation2021—
+2K252648Niti-S SPAXUS StentTaewoong Medical Co., Ltd.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199720
201310
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
202110
202210
202610
FIG. 1 — Lineage of K181905, 1997–2026Source: 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 PCU? 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 PCU device

  1. #1 K252648 Niti-S SPAXUS Stentscore 13.7 · 10 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? (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
*K153088AXIOS Stent with Delivery System, AXIOS Stent with Electro-cautery Enhanced Delivery…
Summary page 5
…ent and Electrocautery-Enhanced Delivery System & AXIOSTM Stent 510(k) Number: K153088/ K163272 Device Common Name: Pancreatic drainage stent and delivery system &…
Boston Scientific Corporation2015—
*K163272AXIOS Stent and Electrocautery Enhanced Delivery System
Summary page 5
…lectrocautery-Enhanced Delivery System & AXIOSTM Stent 510(k) Number: K153088/ K163272 Device Common Name: Pancreatic drainage stent and delivery system &…
Boston Scientific Corporation2017—

Also cleared against K153088: 1 other device →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K192043AXIOS Stent and Electrocautery Enhanced Delivery SystemBoston Scientific Corporation20192
K220112AXIOS Stent and Electrocautery-Enhanced Delivery SystemBoston Scientific Corporation20221
K203132AXIOS Stent and Electrocautery Enhanced Delivery SystemBoston Scientific Corporation20211

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

Recalls of this device

DateClassRecallRoot causeReason
Dec 20, 2024Class IIZ-1031-2025Process controlReported Outer sheath distal black tip detaching from the device can remain around the stent saddle, preventing proper expansion, resulting in prolongation of the procedure to exchange the device for a new one.
Dec 20, 2024Class IIZ-1030-2025Process controlReported Outer sheath distal black tip detaching from the device can remain around the stent saddle, preventing proper expansion, resulting in prolongation of the procedure to exchange the device for a new one.
Dec 1, 2020Class IIZ-0776-2021Process controlThe rotating luer fitting at the distal end of the delivery system handle may become detached from the nose of the delivery during device preparation, stent delivery or use, resulting in delay or procedure or risk of peritonitis…
Dec 1, 2020Class IIZ-0773-2021Process controlThe rotating luer fitting at the distal end of the delivery system handle may become detached from the nose of the delivery during device preparation, stent delivery or use, resulting in delay or procedure or risk of peritonitis…
Dec 1, 2020Class IIZ-0774-2021Process controlThe rotating luer fitting at the distal end of the delivery system handle may become detached from the nose of the delivery during device preparation, stent delivery or use, resulting in delay or procedure or risk of peritonitis…
Dec 1, 2020Class IIZ-0775-2021Process controlThe rotating luer fitting at the distal end of the delivery system handle may become detached from the nose of the delivery during device preparation, stent delivery or use, resulting in delay or procedure or risk of peritonitis…
Dec 1, 2020Class IIZ-0777-2021Process controlThe rotating luer fitting at the distal end of the delivery system handle may become detached from the nose of the delivery during device preparation, stent delivery or use, resulting in delay or procedure or risk of peritonitis…
Dec 1, 2020Class IIZ-0778-2021Process controlThe rotating luer fitting at the distal end of the delivery system handle may become detached from the nose of the delivery during device preparation, stent delivery or use, resulting in delay or procedure or risk of peritonitis…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 22 years and passes through 3 companies; a new generation was cleared every 1.2 years on median.
  • 1 of the 11 ancestors has a recall of any class.
  • Of its descendants, K192043 (Boston Scientific Corporation, 2019) has gone furthest, with 2 descendants of its own.
  • 1 other device also cites its predicate K153088.

How does its category compare?

All PCU devices

PCU Pancreatic Stent, Covered, Metallic, Removable: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · PCU

1in 2022

2013: 12014: 12015: 32017: 12019: 22021: 12022: 12026 (partial year): 1
2007high 3 (2015) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PCU

46in 2015

2015: 46 days median
2007high 46 (2015)2026

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

Recalls per year · PCU

6in 2020

2020: 6
2007high 6 (2020) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · PCU

292in 2025

2014: 32015: 172016: 1012017: 952018: 902019: 1362020: 1442021: 1622022: 2082023: 2602024: 4162025: 292
2007high 416 (2024) · low 0 (2007)2025

MAUDE reports naming product code PCU, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20131—00
20141—03
2015346017
20160—0101
20171—095
20180—090
20192—0136
20200—6144
20211—0162
20221—0208
20230—0260
20240—0416
20250—0292
20261—0—

What is it indicated for?

The AXIOS Stent and Delivery System & AXIOS Stent and Electrocautery Enhanced Delivery System are indicated for

use to facilitate transgastric or transduodenal endoscopic drainage of symptomatic pancreatic pseudocysts >6¢m in size,

and symptomatic Walled Off Necrosis >6¢m in size, with >70% fluid content, that are adherent to the gastric or bowel

wall. Once placed, the AXIOS stent functions as an access port allowing passage of standard and therapeutic endoscopes

to facilitate debridement, irrigation and cystoscopy. The stent is intended for implantation up to 60 days and should be

removed upon confirmation of pseudocyst or Walled Off Necrosis resolution.

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. “K181905: AXIOS Stent and Delivery System, AXIOS Stent and Electrocautery Enhanced Delivery System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K181905

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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