510(k) Report

510(k) · Cleared

Cleared

AcQRef Introducer Sheath

K192106510(k) SpecialCleared Sep 3, 201929-day reviewClass II21 CFR 870.1340

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

Acutus Medical, Inc. · DYB Introducer, Catheter

Cleared on Sep 3, 2019 as substantially equivalent to K171557 (Acutus Medical, Inc., 2018) after a 29-day review. Its family tree reaches back 8 generations to 1989.

Decided
Sep 3, 2019
Review
29 days
Class
Class II
Product code
DYB
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K893658 (1989). 54 ancestors in all, the oldest K760385 (1976). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2005: 2 other ancestors2008: 1 other ancestor2006: 1 other ancestor2000: 1 other ancestor2004: 1 other ancestor2002: 3 other ancestors1999: 2 other ancestors1998: 1 other ancestor1997: 1 other ancestor1995: 4 other ancestors1994: 4 other ancestors1992: 4 other ancestors1990: 5 other ancestors1980: 1 other ancestor1976: 1 other ancestor2001: 2 other ancestors1996: 2 other ancestors1993: 1 other ancestor1991: 1 other ancestor1988: 1 other ancestor1987: 3 other ancestors1986: 1 other ancestor1985: 2 other ancestors1977: 1 other ancestorK893658 · Percutaneous Introducer · Medamicus, Inc. · 1989K965167 · Percutaneous Venous Introducer 10264 · Medamicus, Inc. · 1997K012130 · Attain LDS 6216 Left-Heart Delivery System · Medtronic Vascular · 2001K013517 · 10600 Deflectable Catheter System, Model 10600 · Medtronic Vascular · 2002K031211 · Attain Prevail Steerable Catheter Set, Model 6228CTH · Medtronic Vascular · 2003K052575 · Luminary Cannulator Bideflectable Catheter with Lumen · St Jude Medical · 2006K103083 · Agilis ES Steerable Introducer · St Jude Medical · 2011K171557 · AcQRef Introducer Sheath · Acutus Medical, Inc. · 201819801990200020102020
  1. Root · 8 generations backK893658 Percutaneous IntroducerMedamicus, Inc. · 1989
  2. 7 generations backK965167 Percutaneous Venous Introducer 10264Medamicus, Inc. · 1997
  3. 6 generations backK012130 Attain LDS 6216 Left-Heart Delivery SystemMedtronic Vascular · 2001
  4. 5 generations backK013517 10600 Deflectable Catheter System, Model 10600Medtronic Vascular · 2002
  5. 4 generations backK031211 Attain Prevail Steerable Catheter Set, Model 6228CTHMedtronic Vascular · 2003
  6. 3 generations backK052575 Luminary Cannulator Bideflectable Catheter with LumenSt Jude Medical · 2006
  7. 2 generations backK103083 Agilis ES Steerable IntroducerSt Jude Medical · 2011
  8. 1 generation backK171557 AcQRef Introducer SheathAcutus Medical, Inc. · 2018
  9. This deviceK192106 AcQRef Introducer SheathAcutus Medical, Inc. · 2019
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K893658Percutaneous IntroducerMedamicus, Inc.1989—
−7K965167Percutaneous Venous Introducer 10264Medamicus, Inc.1997—
−6K012130Attain LDS 6216 Left-Heart Delivery SystemMedtronic Vascular2001—
−5K01351710600 Deflectable Catheter System, Model 10600Medtronic Vascular2002—
−4K031211Attain Prevail Steerable Catheter Set, Model 6228CTHMedtronic Vascular2003—
−3K052575Luminary Cannulator Bideflectable Catheter with LumenSt Jude Medical2006—
−2K103083Agilis ES Steerable IntroducerSt Jude Medical2011—
−1K171557AcQRef Introducer SheathAcutus Medical, Inc.2018—
0 (this device)K192106AcQRef Introducer SheathAcutus Medical, Inc.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197610
197710
198010
198520
198610
198730
198810
199050
199110
199240
199310
199440
199540
199620
199710
199810
199920
200010
200120
200230
200410
200520
200610
200810
FIG. 1 — Lineage of K192106, 1989–2019Source: 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 DYB? 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 DYB device

  1. #1 K251051 AuST Steerable Sheathscore 18.0 · 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? (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
*K171557AcQRef Introducer Sheath
Summary page 5
…K192106 Page 2 of 5 510(K) SUMMARY PREDICATE DEVICE(S) [807.92(a)(3)] AcQRef Introducer Sheath (K171557), manufactured by Acutus Medical, Inc. DEVICE DESCRIPTION [807.92(a)(4)] The Acutus Medical AcQRef Introducer Sheath is a steri…
Acutus Medical, Inc.2018—

What descends from it?

No later submission names this one as a predicate yet.

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 30 years and passes through 4 companies; a new generation was cleared every 4.1 years on median.
  • 13 of the 54 ancestors have a recall of any class.

How does its category compare?

All DYB devices

DYB Introducer, Catheter: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · DYB

16in 2025

2007: 122008: 172009: 142010: 182011: 172012: 222013: 262014: 302015: 172016: 192017: 242018: 192019: 182020: 92021: 122022: 132023: 152024: 182025: 162026 (partial year): 17
2007high 30 (2014) · low 9 (2020)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DYB

63in 2025

2007: 95 days median2008: 37 days median2009: 52 days median2010: 123 days median2011: 100 days median2012: 128 days median2013: 118 days median2014: 122 days median2015: 129 days median2016: 95 days median2017: 70 days median2018: 156 days median2019: 47 days median2020: 49 days median2021: 78 days median2022: 143 days median2023: 55 days median2024: 56 days median2025: 63 days median2026 (partial year): 59 days median
2007high 156 (2018) · low 37 (2008)2026

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

Recalls per year · DYB

3in 2025

2007: 152008: 92009: 252010: 182011: 42012: 32013: 5, 1 Class I2014: 22015: 2, 1 Class I2016: 45, 3 Class I2017: 22, 1 Class I2018: 12019: 22020: 21, 21 Class I2021: 62022: 22023: 102024: 22025: 32026 (partial year): 23, 21 Class I
2007high 45 (2016) · low 1 (2018)2026

Class I (48 since 2007) Class II/III not classified

Adverse event reports per year · DYB

4,539in 2025

2007: 3162008: 4232009: 3992010: 4452011: 6282012: 8982013: 7432014: 7802015: 9132016: 1,2342017: 1,6722018: 1,9032019: 2,4502020: 2,4652021: 2,8352022: 4,0842023: 3,7752024: 3,9312025: 4,539
2007high 4,539 (2025) · low 316 (2007)2025

MAUDE reports naming product code DYB, 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
2007129515316
200817379423
2009145225399
20101812318445
2011171004628
2012221283898
2013261185 (1)743
2014301222780
2015171292 (1)913
2016199545 (3)1,234
2017247022 (1)1,672
20181915611,903
2019184722,450
202094921 (21)2,465
2021127862,835
20221314324,084
20231555103,775
2024185623,931
2025166334,539
2026175923 (21)—

What is it indicated for?

The Acutus Medical AcQRef Introducer Sheath is indicated for use in percutaneous procedures to facilitate venous access from the lower extremities for introduction of catheters and other devices, and may be used to sense intravenous signals.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192106: AcQRef Introducer Sheath.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K192106

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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