510(k) Report

510(k) · Cleared

Cleared

Symetrex LTHD Catheter, Symetrex LTHD Catheter with Sideholes

K202176510(k) SpecialCleared Sep 3, 202030-day reviewClass II21 CFR 876.5540

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

Medical Components, Inc. (dba MedComp) · MSD Catheter, Hemodialysis, Implanted

Cleared on Sep 3, 2020 as substantially equivalent to K171618 (Medcomp (Dba Medical Components, Inc.), 2017) and 1 other predicate after a 30-day review. Its family tree reaches back 9 generations to 1999. 3 of the 24 devices in its family, counting itself, have a Class I recall.

Decided
Sep 3, 2020
Review
30 days
Class
Class II
Product code
MSD
Recalls
None
Predicates
2

Its longest line of descent runs back 9 generations to K974236 (1999). 23 ancestors in all, the oldest K861563 (1986). No later device cites it as a predicate yet. 3 of the 24 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2010: 1 other ancestor2011: 1 other ancestor, 1 with a Class I recall12007: 1 other ancestor2009: 1 other ancestor2006: 1 other ancestor2004: 3 other ancestors2003: 1 other ancestor2001: 3 other ancestors1998: 1 other ancestor1986: 1 other ancestorK974236 · Medcomp Schon XL Soft-Line Double Lumen Catheter, 15CM SBF146, Medcomp Schon XL Soft-Line Double Lumen Catheter, 20CM SB · Medical Components, Inc. · 1999K991320 · Medcomp Duo-Flow II Catheter with Lubricious Heparin · Medical Components, Inc. · 1999×2: 2 generations cleared close together, K060509 (2006), K062671 (2006) K112477 · Palindrome H, SI, Hsi Chronic Catheter · Covidien · 2011 · Class I recallK123196 · Palindrome Precision H Chronic Catheter, Palindrome Precision SI Chronic Catheter, Palindrome Precision Hsi Chronic Cath · Covidien · 2013 · Class I recallK140884 · Symetrex Long Term Hemodialysis Catheter · Phase One Medical · 2014K171618 · Symetrex Long Term Hemodialysis Catheter · Medcomp (Dba Medical Components, Inc.) · 2017K173667 · 15.5F X 19 cm Symetrex Long Term Hemodialysis Catheter with Sideholes, 15.5F X 23 cm Symetrex Long Term Hemodialysis Catheter with Sideholes, 15.5F X 28 cm Symetrex Long Term Hemodialysis Catheter with Sideholes, 15.5F X 33 cm Symetrex Long Term Hemodialysis Catheter with Sideholes, 15.5F X 37 cm Symetrex Long Term Hemodialysis Catheter with Sideholes · Medical Components, Inc. (dba MedComp) · 20181990200020102020
Other ancestors, by generation 3 generations back: 1 other ancestor4 generations back: 2 other ancestors, 1 with a Class I recall15 generations back: 7 other ancestors6 generations back: 3 other ancestors7 generations back: 1 other ancestor K173667 · 15.5F X 19 cm Symetrex Long Term Hemodialysis Catheter with Sideholes, 15.5F X 23 cm Symetrex Long Term Hemodialysis Catheter with Sideholes, 15.5F X 28 cm Symetrex Long Term Hemodialysis Catheter with Sideholes, 15.5F X 33 cm Symetrex Long Term Hemodialysis Catheter with Sideholes, 15.5F X 37 cm Symetrex Long Term Hemodialysis Catheter with Sideholes · Medical Components, Inc. (dba MedComp) · 2018K171618 · Symetrex Long Term Hemodialysis Catheter · Medcomp (Dba Medical Components, Inc.) · 2017K140884 · Symetrex Long Term Hemodialysis Catheter · Phase One Medical · 2014K123196 · Palindrome Precision H Chronic Catheter, Palindrome Precision SI Chronic Catheter, Palindrome Precision Hsi Chronic Cath · Covidien · 2013 · Class I recallK112477 · Palindrome H, SI, Hsi Chronic Catheter · Covidien · 2011 · Class I recallK062671 · 14.5 FR Chronic Hemodialysis Catheter with Heparin Coating and Silver Impregnated Sleeve (Palindrome Sapphire) · Kendall · 2006 · recalledK060509 · Palindrome Emerald 14.5 FR Chronic Hemodialysis Catheter with Heparin Coating · Tyco Healthcare Group · 2006 · recalledK991320 · Medcomp Duo-Flow II Catheter with Lubricious Heparin · Medical Components, Inc. · 1999K974236 · Medcomp Schon XL Soft-Line Double Lumen Catheter, 15CM SBF146, Medcomp Schon XL Soft-Line Double Lumen Catheter, 20CM SB · Medical Components, Inc. · 1999−50
  1. Root · 9 generations backK974236 Medcomp Schon XL Soft-Line Double Lumen Catheter, 15CM SBF146…Medical Components, Inc. · 1999
  2. 5 generations between
  3. 3 generations backK140884 Symetrex Long Term Hemodialysis CatheterPhase One Medical · 2014
  4. 2 generations backK171618 Symetrex Long Term Hemodialysis CatheterMedcomp (Dba Medical Components, Inc.) · 2017
  5. 1 generation backK173667 15.5F X 19 cm Symetrex Long Term Hemodialysis Catheter with…Medical Components, Inc. (dba MedComp) · 2018
  6. This deviceK202176 Symetrex LTHD Catheter, Symetrex LTHD Catheter with SideholesMedical Components, Inc. (dba MedComp) · 2020
Show all 9 generations
  1. Root · 9 generations backK974236 Medcomp Schon XL Soft-Line Double Lumen Catheter, 15CM SBF146…Medical Components, Inc. · 1999
  2. 8 generations backK991320 Medcomp Duo-Flow II Catheter with Lubricious HeparinMedical Components, Inc. · 1999
  3. 7 generations backK060509 Palindrome Emerald 14.5 FR Chronic Hemodialysis Catheter with…Tyco Healthcare Group · 2006 · Recalled
  4. 6 generations backK062671 14.5 FR Chronic Hemodialysis Catheter with Heparin Coating and…Kendall · 2006 · Recalled
  5. 5 generations backK112477 Palindrome H, SI, Hsi Chronic CatheterCovidien · 2011 · Recalled (Class I)
  6. 4 generations backK123196 Palindrome Precision H Chronic Catheter, Palindrome Precision SI…Covidien · 2013 · Recalled (Class I)
  7. 3 generations backK140884 Symetrex Long Term Hemodialysis CatheterPhase One Medical · 2014
  8. 2 generations backK171618 Symetrex Long Term Hemodialysis CatheterMedcomp (Dba Medical Components, Inc.) · 2017
  9. 1 generation backK173667 15.5F X 19 cm Symetrex Long Term Hemodialysis Catheter with…Medical Components, Inc. (dba MedComp) · 2018
  10. This deviceK202176 Symetrex LTHD Catheter, Symetrex LTHD Catheter with SideholesMedical Components, Inc. (dba MedComp) · 2020

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K974236Medcomp Schon XL Soft-Line Double Lumen Catheter, 15CM SBF146, Medcomp Schon…Medical Components, Inc.1999—
−8K991320Medcomp Duo-Flow II Catheter with Lubricious HeparinMedical Components, Inc.1999—
−7K060509Palindrome Emerald 14.5 FR Chronic Hemodialysis Catheter with Heparin CoatingTyco Healthcare Group20064
−6K06267114.5 FR Chronic Hemodialysis Catheter with Heparin Coating and Silver…Kendall200624
−5K112477Palindrome H, SI, Hsi Chronic CatheterCovidien2011Class I
−4K123196Palindrome Precision H Chronic Catheter, Palindrome Precision SI Chronic…Covidien2013Class I
−3K140884Symetrex Long Term Hemodialysis CatheterPhase One Medical2014—
−2K171618Symetrex Long Term Hemodialysis CatheterMedcomp (Dba Medical Components, Inc.)2017—
−1K17366715.5F X 19 cm Symetrex Long Term Hemodialysis Catheter with Sideholes, 15.5F X…Medical Components, Inc. (dba MedComp)2018—
0 (this device)K202176Symetrex LTHD Catheter, Symetrex LTHD Catheter with SideholesMedical Components, Inc. (dba MedComp)2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
199810
200130
200310
200430
200610
200710
200910
201010
201111
FIG. 1 — Lineage of K202176, 1999–2020Source: 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.

3 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 MSD device

  1. #1 K241581 Hemodialysis Catheterscore 12.3 · 11 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
*K171618Symetrex Long Term Hemodialysis Catheter
Summary page 4
…l: Gastroenterology/Urology C. Predicate Device 51 O(k) Number: K171618 & K173667 510(k) Holder: Medcomp® Trad…
Medcomp (Dba Medical Components, Inc.)2017—
*K17366715.5F X 19 cm Symetrex Long Term Hemodialysis Catheter with Sideholes, 15.5F X 23 cm…
Summary page 4
…Gastroenterology/Urology C. Predicate Device 51 O(k) Number: K171618 & K173667 510(k) Holder: Medcomp® Trade Name:…
Medical Components, Inc. (dba MedComp)2018—

Also cleared against K171618: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (3 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.

  • K123196Palindrome Precision H Chronic Catheter, Palindrome Precision SI Chronic Catheter, Palindrome Precision Hsi…Covidien · 2013 · 3 generations back · ◆ on the line of descent in FIG. 14 Class I recalls
  • K112477Palindrome H, SI, Hsi Chronic CatheterCovidien · 2011 · 4 generations back · ◆ on the line of descent in FIG. 13 Class I recalls
  • K111372Tal Pallindrome (TM) Symmetric Tip Dual Lumen Catheter, Mahurkar (R) Maxid (TM) Dual Lumen Catheter…Covidien · 2011 · 4 generations back · ◆ in the 2011 ancestors bar of FIG. 12 Class I recalls

What does this lineage say?

  • The line of descent spans 21 years and passes through 7 companies; a new generation was cleared every 1.8 years on median.
  • 12 of the 23 ancestors have a recall of any class; 3 have a Class I recall.
  • 1 other device also cites its predicate K171618.

How does its category compare?

All MSD devices

MSD Catheter, Hemodialysis, Implanted: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · MSD

1in 2025

2007: 72008: 32009: 62010: 42011: 72012: 22013: 52014: 82015: 12016: 22017: 22018: 22019: 12020: 42021: 42025: 1
2007high 8 (2014) · low 0 (2022)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MSD

153in 2021

2007: 92 days median2008: 89 days median2009: 81 days median2010: 116 days median2011: 70 days median2013: 105 days median2014: 246 days median2020: 106 days median2021: 153 days median
2007high 246 (2014) · low 70 (2011)2026

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

Recalls per year · MSD

1in 2013

2008: 472009: 492010: 112011: 242013: 12026 (partial year): 4, 4 Class I
2007high 49 (2009) · low 0 (2007)2026

Class I (4 since 2007) Class II/III not classified

Adverse event reports per year · MSD

1,054in 2025

2007: 1182008: 1742009: 1732010: 3062011: 2682012: 3672013: 3632014: 5062015: 5502016: 5322017: 4842018: 4632019: 6452020: 4012021: 5232022: 6102023: 5422024: 8412025: 1,054
2007high 1,054 (2025) · low 118 (2007)2025

MAUDE reports naming product code MSD, 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
20077920118
200838947174
200968149173
2010411611306
201177024268
20122—0367
201351051363
201482460506
20151—0550
20162—0532
20172—0484
20182—0463
20191—0645
202041060401
202141530523
20220—0610
20230—0542
20240—0841
20251—01,054
20260—4 (4)—

What is it indicated for?

The Symetrex® Long Term Hemodialysis Catheter & Symetrex® Long Term Hemodialysis Catheter with Sideholes is a symmetric tip dual lumen catheter designed for chronic hemodialysis and apheresis. It may be inserted percutaneously or by cut down. Catheters with greater than 37cm implant length are indicated for femoral placement.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K202176: Symetrex LTHD Catheter, Symetrex LTHD Catheter with Sideholes.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K202176

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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