510(k) Report

510(k) · Cleared

Cleared

FLOWRUNNER Aspiration System

K254208510(k) SpecialCleared Mar 20, 202681-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

Expanse Medical, Inc. · QEZ Aspiration Thrombectomy Catheter

Cleared on Mar 20, 2026 as substantially equivalent to K251488 (Expanse Medical, Inc., 2025) after an 81-day review. Its family tree reaches back 14 generations to 2001.

Decided
Mar 20, 2026
Review
81 days
Class
Class II
Product code
QEZ
Recalls
None
Predicates
1

Its longest line of descent runs back 14 generations to K003410 (2001). 16 ancestors in all, the oldest K003086 (2001). No later device cites it as a predicate yet.

  1. Root · 14 generations backK003410 Concentric Retriever, Model 90030Concentric Medical, Inc. · 2001 · Recalled
  2. 10 generations between
  3. 3 generations backK180939 Indigo Aspiration System - Modified 110 Aspiration TubingPenumbra, Inc. · 2018
  4. 2 generations backK234073 ICE Aspiration SystemExpanse Medical, Inc. · 2024
  5. 1 generation backK251488 FLOWRUNNER Aspiration SystemExpanse Medical, Inc. · 2025
  6. This deviceK254208 FLOWRUNNER Aspiration SystemExpanse Medical, Inc. · 2026
Show all 14 generations
  1. Root · 14 generations backK003410 Concentric Retriever, Model 90030Concentric Medical, Inc. · 2001 · Recalled
  2. 13 generations backK030476 Modified Concentric Retriever, Model 90037Concentric Medical, Inc. · 2003 · Recalled
  3. 12 generations backK033736 Merci Retriever, Models 90065, 90066Concentric Medical, Inc. · 2004
  4. 11 generations backK072718 Penumbra SystemPenumbra, Inc. · 2007 · Recalled
  5. 10 generations backK100769 Penumbra System Separator Flex (026,032,041,054), Models PSF026…Penumbra, Inc. · 2010
  6. 9 generations backK113163 Penumbra System MaxPenumbra, Inc. · 2011
  7. 8 generations backK121917 Penumbra Embolectomy Aspiration SystemPenumbra, Inc. · 2012
  8. 7 generations backK142870 Penumbra Embolectomy Aspiration System [INDIGO Aspiration System]Penumbra, Inc. · 2015
  9. 6 generations backK160533 Penumbra Embolectomy Aspiration System (INDIGOTM Aspiration System)Penumbra, Inc. · 2016
  10. 5 generations backK161523 INDIGO Aspiration SystemPenumbra, Inc. · 2016
  11. 4 generations backK180105 Indigo Aspiration System - Penumbra Engine Pump, Indigo Aspiration…Penumbra, Inc. · 2018
  12. 3 generations backK180939 Indigo Aspiration System - Modified 110 Aspiration TubingPenumbra, Inc. · 2018
  13. 2 generations backK234073 ICE Aspiration SystemExpanse Medical, Inc. · 2024
  14. 1 generation backK251488 FLOWRUNNER Aspiration SystemExpanse Medical, Inc. · 2025
  15. This deviceK254208 FLOWRUNNER Aspiration SystemExpanse Medical, Inc. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K003410Concentric Retriever, Model 90030Concentric Medical, Inc.20011
−13K030476Modified Concentric Retriever, Model 90037Concentric Medical, Inc.20032
−12K033736Merci Retriever, Models 90065, 90066Concentric Medical, Inc.2004—
−11K072718Penumbra SystemPenumbra, Inc.20071
−10K100769Penumbra System Separator Flex (026,032,041,054), Models PSF026, PSF032…Penumbra, Inc.2010—
−9K113163Penumbra System MaxPenumbra, Inc.2011—
−8K121917Penumbra Embolectomy Aspiration SystemPenumbra, Inc.2012—
−7K142870Penumbra Embolectomy Aspiration System [INDIGO Aspiration System]Penumbra, Inc.2015—
−6K160533Penumbra Embolectomy Aspiration System (INDIGOTM Aspiration System)Penumbra, Inc.2016—
−5K161523INDIGO Aspiration SystemPenumbra, Inc.2016—
−4K180105Indigo Aspiration System - Penumbra Engine Pump, Indigo Aspiration System -…Penumbra, Inc.2018—
−3K180939Indigo Aspiration System - Modified 110 Aspiration TubingPenumbra, Inc.2018—
−2K234073ICE Aspiration SystemExpanse Medical, Inc.2024—
−1K251488FLOWRUNNER Aspiration SystemExpanse Medical, Inc.2025—
0 (this device)K254208FLOWRUNNER Aspiration SystemExpanse Medical, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110
200910
FIG. 1 — Lineage of K254208, 2001–2026Source: 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 QEZ? 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 QEZ device

  1. #1 K253925 Aventus Thrombectomy Systemscore 17.9 · 5 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

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
*K251488FLOWRUNNER Aspiration System
Summary page 5
…mbolectomy Catheter Regulatory Class: Class II Product Code: QEZ and KRA Predicate Device: FLOWRUNNER Aspiration System (K251488) 3. Indication for Use The FLOWRUNNER Aspiration System is indicated for the removal of fresh, soft emboli and…
Expanse Medical, Inc.2025—
†K234073ICE Aspiration SystemExpanse Medical, Inc.2024—

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 25 years and passes through 3 companies; a new generation was cleared every 1.5 years on median.
  • 3 of the 16 ancestors have a recall of any class.

How does its category compare?

All QEZ devices

QEZ Aspiration Thrombectomy Catheter: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · QEZ

5in 2025

2007: 112008: 62009: 42010: 32011: 72012: 52013: 42014: 12016: 12017: 32018: 12019: 32020: 32021: 32022: 22023: 12024: 12025: 52026 (partial year): 6
2007high 11 (2007) · low 0 (2015)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QEZ

108in 2025

2007: 79 days median2008: 72 days median2009: 83 days median2010: 33 days median2011: 118 days median2012: 90 days median2013: 144 days median2017: 112 days median2019: 94 days median2020: 120 days median2021: 53 days median2025: 108 days median2026 (partial year): 98 days median
2007high 144 (2013) · low 33 (2010)2026

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

Recalls per year · QEZ

No recall names QEZ since 2007.

Adverse event reports per year · QEZ

21in 2025

2021: 22022: 182023: 142024: 172025: 21
2007high 21 (2025) · low 0 (2007)2025

MAUDE reports naming product code QEZ, 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
2007117900
200867200
200948300
201033300
2011711800
201259000
2013414400
20141—00
20150—00
20161—00
2017311200
20181—00
201939400
2020312000
202135302
20222—018
20231—014
20241—017
20255108021
20266980—

What is it indicated for?

The FLOWRUNNER Aspiration System is indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K254208: FLOWRUNNER Aspiration System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K254208

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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