510(k) Report

510(k) · Cleared

Cleared

Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave E8 Peripheral IVL Catheter

K262201510(k) SpecialCleared Jul 27, 202628-day reviewClass II21 CFR 870.1250

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

Shockwave Medical, Inc. · PPN Percutaneous Catheter, Ultrasound

Cleared on Jul 27, 2026 as substantially equivalent to K240225 (Shockwave Medical, Inc., 2024) after a 28-day review. Its family tree reaches back 18 generations to 1990.

Decided
Jul 27, 2026
Review
28 days
Class
Class II
Product code
PPN
Recalls
None
Predicates
1

Its longest line of descent runs back 18 generations to K904788 (1990). 75 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2015: 1 other ancestor2010: 3 other ancestors2014: 1 other ancestor2013: 1 other ancestor2011: 2 other ancestors2008: 5 other ancestors2007: 3 other ancestors2006: 2 other ancestors2005: 7 other ancestors2002: 4 other ancestors2001: 4 other ancestors2009: 1 other ancestor2003: 4 other ancestors1997: 3 other ancestors2004: 1 other ancestor2000: 5 other ancestors1998: 1 other ancestor1999: 2 other ancestors1996: 2 other ancestors1994: 1 other ancestor1995: 1 other ancestor1993: 2 other ancestors1991: 1 other ancestorReference device: K203365 · Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave M5+ Peripheral IVL Catheter · Shockwave Medical, Inc. · 2021K904788 · Mewissen Catheter · Boston Scientific Corp · 1990K974067 · Fountain Infusion Catheter and Occluding Guide Wire · Merit Medical Systems, Inc. · 1998 · recalledK981417 · Squirt Fluid Delivery System · Merit Medical Systems, Inc. · 1998K013635 · Trellis Infusion System (10CM Infusion Length); Trellis Infusion System (20CM Infusion Length) · Bacchus Vascular, Inc. · 2002K021958 · Trellis Plus Infusion System (140CM Catheter Length 10CM Infusion Length 20CM (100CM Catheter Length 10CM Infusion H · Bacchus Vascular, Inc. · 2002 · recalledK023514 · Trellis-6 Peripheral Infusion System (140CM Catheter Length 10CM Infusion Length) · Bacchus Vascular, Inc. · 2002 · recalled×2: 2 generations cleared close together, K030637 (2003), K033214 (2003) ×2: 2 generations cleared close together, K041629 (2004), K042456 (2004) ×2: 2 generations cleared close together, K051319 (2005), K052071 (2005) K060422 · Lysus Infusion System · Ekos Corp. · 2006 · recalled×2: 2 generations cleared close together, K161384 (2016), K163306 (2016) K180454 · Shockwave Medical Intravascular Lithotripsy (IVL) System · Shockwave Medical, Inc. · 2018 · recalledK191840 · Peripheral Intravascular Lithotripsy (IVL) Catheters, IVL Generator and Connector Cable Kit, IVL Connector Cable (Replacement) · Shockwave Medical, Inc. · 2019K240225 · Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave E8 Peripheral IVL Catheter · Shockwave Medical, Inc. · 20241990200020102020
Other ancestors, by generation 6 generations back: 2 other ancestors7 generations back: 6 other ancestors8 generations back: 9 other ancestors9 generations back: 14 other ancestors10 generations back: 12 other ancestors11 generations back: 6 other ancestors12 generations back: 2 other ancestors13 generations back: 4 other ancestors15 generations back: 2 other ancestors K240225 · Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave E8 Peripheral IVL Catheter · Shockwave Medical, Inc. · 2024K191840 · Peripheral Intravascular Lithotripsy (IVL) Catheters, IVL Generator and Connector Cable Kit, IVL Connector Cable (Replacement) · Shockwave Medical, Inc. · 2019K180454 · Shockwave Medical Intravascular Lithotripsy (IVL) System · Shockwave Medical, Inc. · 2018 · recalledK163306 · Lithoplasty Peripheral Balloon Dilatation Catheter; Lithoplasty Generator And Connector Cable; Lithoplasty Connector Cable · Shockwave Medical, Inc. · 2016K161384 · Lithoplasty Peripheral Balloon Dilatation Catheter, Lithoplasty Generator and Connector Cable, Lithoplasty Connector Cable · Shockwave Medical, Inc. · 2016K060422 · Lysus Infusion System · Ekos Corp. · 2006 · recalledK052071 · Lysus Infusion System · Ekos Corp. · 2005K051319 · Lysus Infusion System · Ekos Corp. · 2005K042456 · Lysus Infusion System · Ekos Corp. · 2004 · recalledK041629 · Lysus Infusion System · Ekos Corp. · 2004K033214 · Ekos Peripheral Infusion System · Ekos Corp. · 2003K030637 · Ekos Peripheral Infusion System · Ekos Corp. · 2003K023514 · Trellis-6 Peripheral Infusion System (140CM Catheter Length 10CM Infusion Length) · Bacchus Vascular, Inc. · 2002 · recalledK021958 · Trellis Plus Infusion System (140CM Catheter Length 10CM Infusion Length 20CM (100CM Catheter Length 10CM Infusion H · Bacchus Vascular, Inc. · 2002 · recalledK013635 · Trellis Infusion System (10CM Infusion Length); Trellis Infusion System (20CM Infusion Length) · Bacchus Vascular, Inc. · 2002K981417 · Squirt Fluid Delivery System · Merit Medical Systems, Inc. · 1998K974067 · Fountain Infusion Catheter and Occluding Guide Wire · Merit Medical Systems, Inc. · 1998 · recalledK904788 · Mewissen Catheter · Boston Scientific Corp · 1990−15−10−50
  1. Root · 18 generations backK904788 Mewissen CatheterBoston Scientific Corp · 1990
  2. 14 generations between
  3. 3 generations backK180454 Shockwave Medical Intravascular Lithotripsy (IVL) SystemShockwave Medical, Inc. · 2018 · Recalled
  4. 2 generations backK191840 Peripheral Intravascular Lithotripsy (IVL) Catheters, IVL Generator…Shockwave Medical, Inc. · 2019
  5. 1 generation backK240225 Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave…Shockwave Medical, Inc. · 2024
  6. This deviceK262201 Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave…Shockwave Medical, Inc. · 2026
Show all 18 generations
  1. Root · 18 generations backK904788 Mewissen CatheterBoston Scientific Corp · 1990
  2. 17 generations backK974067 Fountain Infusion Catheter and Occluding Guide WireMerit Medical Systems, Inc. · 1998 · Recalled
  3. 16 generations backK981417 Squirt Fluid Delivery SystemMerit Medical Systems, Inc. · 1998
  4. 15 generations backK013635 Trellis Infusion System (10CM Infusion Length); Trellis Infusion…Bacchus Vascular, Inc. · 2002
  5. 14 generations backK021958 Trellis Plus Infusion System (140CM Catheter Length 10CM Infusion…Bacchus Vascular, Inc. · 2002 · Recalled
  6. 13 generations backK023514 Trellis-6 Peripheral Infusion System (140CM Catheter Length 10CM…Bacchus Vascular, Inc. · 2002 · Recalled
  7. 12 generations backK030637 Ekos Peripheral Infusion SystemEkos Corp. · 2003
  8. 11 generations backK033214 Ekos Peripheral Infusion SystemEkos Corp. · 2003
  9. 10 generations backK041629 Lysus Infusion SystemEkos Corp. · 2004
  10. 9 generations backK042456 Lysus Infusion SystemEkos Corp. · 2004 · Recalled
  11. 8 generations backK051319 Lysus Infusion SystemEkos Corp. · 2005
  12. 7 generations backK052071 Lysus Infusion SystemEkos Corp. · 2005
  13. 6 generations backK060422 Lysus Infusion SystemEkos Corp. · 2006 · Recalled
  14. 5 generations backK161384 Lithoplasty Peripheral Balloon Dilatation Catheter, Lithoplasty…Shockwave Medical, Inc. · 2016
  15. 4 generations backK163306 Lithoplasty Peripheral Balloon Dilatation Catheter; Lithoplasty…Shockwave Medical, Inc. · 2016
  16. 3 generations backK180454 Shockwave Medical Intravascular Lithotripsy (IVL) SystemShockwave Medical, Inc. · 2018 · Recalled
  17. 2 generations backK191840 Peripheral Intravascular Lithotripsy (IVL) Catheters, IVL Generator…Shockwave Medical, Inc. · 2019
  18. 1 generation backK240225 Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave…Shockwave Medical, Inc. · 2024
  19. This deviceK262201 Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave…Shockwave Medical, Inc. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−18K904788Mewissen CatheterBoston Scientific Corp1990—
−17K974067Fountain Infusion Catheter and Occluding Guide WireMerit Medical Systems, Inc.199823
−16K981417Squirt Fluid Delivery SystemMerit Medical Systems, Inc.1998—
−15K013635Trellis Infusion System (10CM Infusion Length); Trellis Infusion System (20CM…Bacchus Vascular, Inc.2002—
−14K021958Trellis Plus Infusion System (140CM Catheter Length 10CM Infusion Length 20CM…Bacchus Vascular, Inc.20021
−13K023514Trellis-6 Peripheral Infusion System (140CM Catheter Length 10CM Infusion…Bacchus Vascular, Inc.20021
−12K030637Ekos Peripheral Infusion SystemEkos Corp.2003—
−11K033214Ekos Peripheral Infusion SystemEkos Corp.2003—
−10K041629Lysus Infusion SystemEkos Corp.2004—
−9K042456Lysus Infusion SystemEkos Corp.20043
−8K051319Lysus Infusion SystemEkos Corp.2005—
−7K052071Lysus Infusion SystemEkos Corp.2005—
−6K060422Lysus Infusion SystemEkos Corp.20061
−5K161384Lithoplasty Peripheral Balloon Dilatation Catheter, Lithoplasty Generator and…Shockwave Medical, Inc.2016—
−4K163306Lithoplasty Peripheral Balloon Dilatation Catheter; Lithoplasty Generator And…Shockwave Medical, Inc.2016—
−3K180454Shockwave Medical Intravascular Lithotripsy (IVL) SystemShockwave Medical, Inc.20181
−2K191840Peripheral Intravascular Lithotripsy (IVL) Catheters, IVL Generator and…Shockwave Medical, Inc.2019—
−1K240225Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave E8…Shockwave Medical, Inc.2024—
0 (this device)K262201Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave E8…Shockwave Medical, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199320
199410
199510
199620
199730
199810
199920
200050
200140
200240
200340
200410
200570
200620
200730
200850
200910
201030
201120
201310
201410
201510
FIG. 1 — Lineage of K262201, 1990–2026Source: 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 PPN? 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 PPN device

  1. #1 K260246 SEISMIQ™ Intravascular Lithotripsy Systemscore 16.1 · 15 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
*K240225Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave E8 Peripheral IVL…
Summary page 5
…cutaneous catheter Name: Product Code: PPN Predicate Device The predicate device is the Shockwave Medical Intravascular Lithotripsy System, K240225, cleared by FDA on March 22, 2024. Reference Device The reference device is the Shockwave Medical Intravascular Lithotripsy Syst…
Shockwave Medical, Inc.2024—
†K203365Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave M5+ Peripheral IVL…Shockwave Medical, Inc.2021—

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 36 years and passes through 5 companies; a new generation was cleared every 9 months on median.
  • 16 of the 75 ancestors have a recall of any class.

How does its category compare?

All PPN devices

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

FDA decisions per year · PPN

1in 2025

2016: 22018: 22019: 12021: 12022: 22024: 32025: 12026 (partial year): 2
2007high 3 (2024) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PPN

56in 2024

2024: 56 days median
2007high 56 (2024)2026

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

Recalls per year · PPN

No recall names PPN since 2007.

Adverse event reports per year · PPN

43in 2025

2018: 32019: 72020: 162021: 182022: 352023: 302024: 452025: 43
2007high 45 (2024) · low 0 (2007)2025

MAUDE reports naming product code PPN, 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
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20162—00
20170—00
20182—03
20191—07
20200—016
20211—018
20222—035
20230—030
2024356045
20251—043
20262—0—

What is it indicated for?

The Shockwave Medical Peripheral Intravascular Lithotripsy (IVL) System is intended for lithotripsy-enhanced balloon dilatation of lesions, including calcified lesions, in the peripheral vasculature, including the iliac, femoral, ilio-femoral, popliteal, infra-popliteal, and renal arteries. Not for use in the coronary, carotid or cerebral vasculature.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K262201: Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave E8 Peripheral IVL Catheter.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K262201

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Record history
  • FDA decision record loaded Oct 30, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026