510(k) Report

510(k) · Cleared

Cleared

Excipio SV Thrombectomy Device

K221204510(k) TraditionalCleared Jun 23, 202258-day reviewClass II21 CFR 870.5150

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

Contego Medical, Inc. · QEW Peripheral Mechanical Thrombectomy With Aspiration

Cleared on Jun 23, 2022 as substantially equivalent to K132281 (Codman & Shurtleff, Inc., 2013) after a 58-day review. Its family tree reaches back 5 generations to 1983. 3 of the 20 devices in its family, counting itself, have a Class I recall. 2 later devices descend from it.

Decided
Jun 23, 2022
Review
58 days
Class
Class II
Product code
QEW
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K832023 (1983). 17 ancestors in all. 2 later devices descend from it, 1 citing it directly. 3 of the 20 devices in this family, counting this one, have a Class I recall.

  1. Root · 5 generations backK832023 Embolectomy CatheterBionomy, Inc. · 1983
  2. 4 generations backK961883 Versa-Cath Arterial CatheterIdeas For Medicine, Inc. · 1997
  3. 3 generations backK040010 Genesis Medical Interventional F.a.S.T. (Facilitated…Genesis Medical Interventional, Inc. · 2004
  4. 2 generations backK092623 F.a.S.T. System Sed and CXDGenesis Medical Interventional, Inc. · 2009
  5. 1 generation backK132281 ReVive PV (Peripheral Vasculature) Thrombectomy DeviceCodman & Shurtleff, Inc. · 2013
  6. This deviceK221204 Excipio SV Thrombectomy DeviceContego Medical, Inc. · 2022
  7. Descendant · cites it directly · 1 of its ownK223897 Excipio LV Thrombectomy DeviceContego Medical, Inc. · 2023
  8. Descendant · 2 generations on · 0 of its ownK251485 Excipio LV Prime Thrombectomy DeviceContego Medical, Inc. · 2025

Class I recalls in this family

Most influential descendants

Showing 2 of 2 · See all
  • K223897Excipio LV Thrombectomy DeviceContego Medical, Inc. · 2023 · cites it directly1descendant
  • K251485Excipio LV Prime Thrombectomy DeviceContego Medical, Inc. · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K832023Embolectomy CatheterBionomy, Inc.1983—
−4K961883Versa-Cath Arterial CatheterIdeas For Medicine, Inc.1997—
−3K040010Genesis Medical Interventional F.a.S.T. (Facilitated Aspiration/Suction…Genesis Medical Interventional, Inc.2004—
−2K092623F.a.S.T. System Sed and CXDGenesis Medical Interventional, Inc.2009—
−1K132281ReVive PV (Peripheral Vasculature) Thrombectomy DeviceCodman & Shurtleff, Inc.2013—
0 (this device)K221204Excipio SV Thrombectomy DeviceContego Medical, Inc.2022—
+1K223897Excipio LV Thrombectomy DeviceContego Medical, Inc.2023—
+2K251485Excipio LV Prime Thrombectomy DeviceContego Medical, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199310
199410
199510
199711
199841
200010
200110
200311

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202510
FIG. 1 — Lineage of K221204, 1983–2025Source: 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.

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 QEW device

  1. #1 K213402 Triever24, Triever20score 28.6 · 5 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
*K132281ReVive PV (Peripheral Vasculature) Thrombectomy Device
Summary page 4
…cation Name: Peripheral Mechanical Thrombectomy With Aspiration Product Code: QEW Predicate Device: ReVive PV Thrombectomy Device (K132281) Reference Device: Penumbra Indigo Aspiration System (K142870) Fogarty Arterial Embo…
Codman & Shurtleff, Inc.2013—
†K142870Penumbra Embolectomy Aspiration System [INDIGO Aspiration System]Penumbra, Inc.2015—
†K193379Fogarty Arterial Embolectomy Catheter, Fogarty Biliary Balloon ProbeEdwards Lifesciences, LLC20202

Also cleared against K132281: 1 other device →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K223897Excipio LV Thrombectomy DeviceContego Medical, Inc.20231

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.

  • K022145Over the Wire Embolectomy Catheter, Model 2302LeMaitre Vascular, Inc. · 2003 · 4 generations back · ◆ in the 2003 ancestors bar of FIG. 11 Class I recall
  • K973465Latis Graft Cleaning CatheterApplied Medical Resources · 1998 · 4 generations back · ◆ in the 1998 ancestors bar of FIG. 11 Class I recall
  • K970762Dual Lumen Embolectomy CatheterApplied Medical Resources · 1997 · 5 generations back · ◆ in the 1997 ancestors bar of FIG. 12 Class I recalls

What does this lineage say?

  • The line of descent spans 39 years and passes through 5 companies; a new generation was cleared every 7.5 years on median.
  • 4 of the 17 ancestors have a recall of any class; 3 have a Class I recall.
  • Of its descendants, K223897 (Contego Medical, Inc., 2023) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K132281.

How does its category compare?

All QEW devices

QEW Peripheral Mechanical Thrombectomy With Aspiration: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · QEW

14in 2025

2008: 22009: 22012: 12013: 22014: 22015: 42016: 42017: 22018: 142019: 82020: 162021: 112022: 122023: 232024: 142025: 142026 (partial year): 10
2007high 23 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QEW

58in 2025

2015: 88 days median2016: 63 days median2018: 61 days median2019: 51 days median2020: 105 days median2021: 60 days median2022: 140 days median2023: 102 days median2024: 65 days median2025: 58 days median2026 (partial year): 74 days median
2007high 140 (2022) · low 51 (2019)2026

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

Recalls per year · QEW

7in 2022

2022: 7, 7 Class I
2007high 7 (2022) · low 0 (2007)2026

Class I (7 since 2007) Class II/III not classified

Adverse event reports per year · QEW

207in 2025

2019: 332020: 1972021: 3222022: 1252023: 1652024: 1622025: 207
2007high 322 (2021) · low 0 (2007)2025

MAUDE reports naming product code QEW, 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
20082—00
20092—00
20100—00
20110—00
20121—00
20132—00
20142—00
201548800
201646300
20172—00
2018146100
2019851033
2020161050197
202111600322
2022121407 (7)125
2023231020165
202414650162
202514580207
202610740—

What is it indicated for?

The Excipio SV Thrombectomy Device is indicated for the non-surgical removal of soft emboli and thrombi from peripheral blood vessels

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221204: Excipio SV Thrombectomy Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K221204

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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