510(k) Report

510(k) · Cleared

Cleared

AC3 Series Intra-Aortic Balloon Pump (IABP)

K192238510(k) SpecialCleared Nov 12, 201985-day reviewClass II21 CFR 870.3535

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

Arrow International, Teleflex · DSP System, Balloon, Intra-Aortic And Control

Cleared on Nov 12, 2019 as substantially equivalent to K162820 (Arrow International, Inc., 2017) after an 85-day review. Its family tree reaches back 5 generations to 1991. 7 of the 20 devices in its family, counting itself, have a Class I recall. 3 later devices descend from it.

Decided
Nov 12, 2019
Review
85 days
Class
Class II
Product code
DSP
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K905313 (1991). 16 ancestors in all, the oldest K892799 (1989). 3 later devices descend from it, 1 citing it directly. 7 of the 20 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor, 1 with a Class I recall12000: 3 other ancestors, 2 with a Class I recall21998: 1 other ancestor, 1 with a Class I recall11997: 1 other ancestor1996: 2 other ancestors1995: 1 other ancestor1992: 1 other ancestor1989: 1 other ancestor2020: 1 descendant cleared, 1 with a Class I recall12023: 1 descendant cleared2025: 1 descendant clearedK905313 · Kontron Intra-Aortic Balloon Pump, Model Kaat II · Kontron Instruments, Inc. · 1991K965209 · Acat 1 (Arrow Cardiac Assist Technology 1) · Arrow Intl., Inc. · 1998 · recalledK002256 · Arrow Acat 2 Intra-Aortic Balloon Pump · Arrow Intl., Inc. · 2001K060309 · Autocat Intra-Aortic Balloon Pump Series · Arrow Intl., Inc. · 2006 · Class I recallK162820 · AC3 Series IABP System · Arrow International, Inc. · 2017 · Class I recall1990200020102020
Other ancestors, by generationDescendants, by generation 3 generations back: 2 other ancestors, 1 with a Class I recall14 generations back: 7 other ancestors, 3 with a Class I recall35 generations back: 2 other ancestors 1 generation forward: 1 descendant, 1 with a Class I recall12 generations forward: 1 descendant3 generations forward: 1 descendant K162820 · AC3 Series IABP System · Arrow International, Inc. · 2017 · Class I recallK060309 · Autocat Intra-Aortic Balloon Pump Series · Arrow Intl., Inc. · 2006 · Class I recallK002256 · Arrow Acat 2 Intra-Aortic Balloon Pump · Arrow Intl., Inc. · 2001K965209 · Acat 1 (Arrow Cardiac Assist Technology 1) · Arrow Intl., Inc. · 1998 · recalledK905313 · Kontron Intra-Aortic Balloon Pump, Model Kaat II · Kontron Instruments, Inc. · 1991−50
  1. Root · 5 generations backK905313 Kontron Intra-Aortic Balloon Pump, Model Kaat IIKontron Instruments, Inc. · 1991
  2. 4 generations backK965209 Acat 1 (Arrow Cardiac Assist Technology 1)Arrow Intl., Inc. · 1998 · Recalled
  3. 3 generations backK002256 Arrow Acat 2 Intra-Aortic Balloon PumpArrow Intl., Inc. · 2001
  4. 2 generations backK060309 Autocat Intra-Aortic Balloon Pump SeriesArrow Intl., Inc. · 2006 · Recalled (Class I)
  5. 1 generation backK162820 AC3 Series IABP SystemArrow International, Inc. · 2017 · Recalled (Class I)
  6. This deviceK192238 AC3 Series Intra-Aortic Balloon Pump (IABP)Arrow International, Teleflex · 2019
  7. Descendant · cites it directly · 2 of its ownK201112 AC3 IABP, AC3 Optimus IABP, AutoCAT2 Wave IABP, AutoCAT2 IABPArrow International, Inc. · 2020 · Recalled (Class I)
  8. Descendant · 2 generations on · 1 of its ownK232343 AC3™ Series IABPArrow International, LLC · 2023
  9. Descendant · 3 generations on · 0 of its ownK250542 AC3™ Range™ Intra-Aortic Balloon PumpArrow International, LLC · 2025

Class I recalls in this family

Most influential descendants

Showing 3 of 3 · See all
  • K201112AC3 IABP, AC3 Optimus IABP, AutoCAT2 Wave IABP, AutoCAT2 IABPArrow International, Inc. · 2020 · cites it directly2descendants
  • K232343AC3™ Series IABPArrow International, LLC · 2023 · 2 generations on1descendant
  • K250542AC3™ Range™ Intra-Aortic Balloon PumpArrow International, LLC · 2025 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K905313Kontron Intra-Aortic Balloon Pump, Model Kaat IIKontron Instruments, Inc.1991—
−4K965209Acat 1 (Arrow Cardiac Assist Technology 1)Arrow Intl., Inc.19981
−3K002256Arrow Acat 2 Intra-Aortic Balloon PumpArrow Intl., Inc.2001—
−2K060309Autocat Intra-Aortic Balloon Pump SeriesArrow Intl., Inc.2006Class I
−1K162820AC3 Series IABP SystemArrow International, Inc.2017Class I
0 (this device)K192238AC3 Series Intra-Aortic Balloon Pump (IABP)Arrow International, Teleflex2019—
+1K201112AC3 IABP, AC3 Optimus IABP, AutoCAT2 Wave IABP, AutoCAT2 IABPArrow International, Inc.2020Class I
+2K232343AC3™ Series IABPArrow International, LLC2023—
+3K250542AC3™ Range™ Intra-Aortic Balloon PumpArrow International, LLC2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199210
199510
199620
199710
199811
200032
200211

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202011
202310
202510
FIG. 1 — Lineage of K192238, 1991–2025Source: 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.

7 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 DSP device

  1. #1 K250542 AC3™ Range™ Intra-Aortic Balloon Pumpscore 11.2 · 8 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
*K162820AC3 Series IABP System
Summary page 4
…IAB Pump Product Code DSP Classification Name 21 CFR 870.3535 – Intra-Aortic Balloon Pump, System Predicate Device K162820, AC3™ IAB Pump – cleared March 31, 2017 Device Description The AC3™ Series IABP System provides counter-pulsation therapy to ad…
Arrow International, Inc.2017Class I

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K201112AC3 IABP, AC3 Optimus IABP, AutoCAT2 Wave IABP, AutoCAT2 IABP Class IArrow International, Inc.20202

Has anything in its family been recalled? (7 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.

  • K162820AC3 Series IABP SystemArrow International, Inc. · 2017 · Direct predicate · ◆ on the line of descent in FIG. 12 Class I recalls
  • K060309Autocat Intra-Aortic Balloon Pump SeriesArrow Intl., Inc. · 2006 · 2 generations back · ◆ on the line of descent in FIG. 128 Class I recalls
  • K021462Arrow Intra-Aortic Balloon (Iab) Catheter with a Fiber Optic Sensor and a Measurement System, Models…Arrow Intl., Inc. · 2002 · 3 generations back · ◆ in the 2002 ancestors bar of FIG. 12 Class I recalls
  • K000729Arrow Ultra 8 Intra-Aortic Balloon Catheters (Iabs) 8FR 30CC and 40CC UniversalArrow Intl., Inc. · 2000 · 4 generations back · ◆ in the 2000 ancestors bar of FIG. 17 Class I recalls
  • K9939668FR. Narrowflex Universal Intra-Aortic Balloon CatheterArrow Intl., Inc. · 2000 · 4 generations back · ◆ in the 2000 ancestors bar of FIG. 11 Class I recall
  • K981660Bard 8 Fr., 40cc. & 7Fr., 30cc Intra-Aortic Balloon CathetersC.R. Bard, Inc. · 1998 · 4 generations back · ◆ in the 1998 ancestors bar of FIG. 12 Class I recalls
  • K201112AC3 IABP, AC3 Optimus IABP, AutoCAT2 Wave IABP, AutoCAT2 IABPArrow International, Inc. · 2020 · Cites it directly · ◆ in the 2020 descendants bar of FIG. 111 Class I recalls

What does this lineage say?

  • The line of descent spans 28 years and passes through 4 companies; a new generation was cleared every 4.9 years on median.
  • 7 of the 16 ancestors have a recall of any class; 6 have a Class I recall.
  • Of its descendants, K201112 (Arrow International, Inc., 2020) has gone furthest, with 2 descendants of its own.

How does its category compare?

All DSP devices

DSP System, Balloon, Intra-Aortic And Control: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · DSP

1in 2025

2007: 22009: 22011: 22012: 22013: 12015: 12017: 32018: 12019: 32020: 22023: 12025: 1
2007high 3 (2017) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DSP

140in 2019

2017: 73 days median2019: 140 days median
2007high 140 (2019) · low 73 (2017)2026

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

Recalls per year · DSP

4in 2025

2007: 32009: 142010: 82012: 32014: 12016: 9, 9 Class I2018: 2, 2 Class I2019: 32021: 5, 3 Class I2022: 33, 33 Class I2024: 12025: 4
2007high 33 (2022) · low 0 (2008)2026

Class I (47 since 2007) Class II/III not classified

Adverse event reports per year · DSP

7,422in 2025

2007: 4612008: 6172009: 6562010: 1,0192011: 5902012: 4902013: 4952014: 1,7382015: 4042016: 4192017: 2,1642018: 3,3312019: 3,5522020: 3,3932021: 4,3452022: 5,1132023: 6,9802024: 7,3172025: 7,422
2007high 7,422 (2025) · low 404 (2015)2025

MAUDE reports naming product code DSP, 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
20072—3461
20080—0617
20092—14656
20100—81,019
20112—0590
20122—3490
20131—0495
20140—11,738
20151—0404
20160—9 (9)419
201737302,164
20181—2 (2)3,331
2019314033,552
20202—03,393
20210—5 (3)4,345
20220—33 (33)5,113
20231—06,980
20240—17,317
20251—47,422
20260—0—

What is it indicated for?

The AC3 Intra-Aortic Balloon Pump is clinically indicated for use for the following conditions:

• Acute Coronary Syndrome

• Cardiac and Non-Cardiac Surgery

• Complications of Heart Failure

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192238: AC3 Series Intra-Aortic Balloon Pump (IABP).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K192238

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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