510(k) Report

510(k) · Cleared

Cleared

Modified Labeling of Cardiac Assist Intra-Aortic Balloon Catheters: Model 930 - 940, 30 - 40 CC Sensation and Nicath 30C

K963187510(k) TraditionalCleared Nov 4, 199682-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

Boston Scientific Corp · DSP System, Balloon, Intra-Aortic And Control

Cleared on Nov 4, 1996 as substantially equivalent to K910997 (Datascope Corp., 1991) and 1 other predicate after an 82-day review. Its family tree reaches back 1 generation to 1990. 5 of the 24 devices in its family, counting itself, have a Class I recall. 21 later devices descend from it.

Decided
Nov 4, 1996
Review
82 days
Class
Class II
Product code
DSP
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K892222 (1990). 2 ancestors in all. 21 later devices descend from it, 3 citing it directly. 5 of the 24 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 1991: 1 other ancestor1998: 2 descendants cleared1997: 2 descendants cleared2000: 1 descendant cleared2006: 1 descendant cleared2009: 2 descendants cleared2001: 1 descendant cleared2004: 1 descendant cleared2002: 1 descendant cleared2003: 1 descendant cleared2007: 1 descendant cleared, 1 with a Class I recall12017: 2 descendants cleared, 1 with a Class I recall12011: 2 descendants cleared, 1 with a Class I recall12013: 1 descendant cleared2012: 1 descendant cleared2018: 1 descendant cleared, 1 with a Class I recall12015: 1 descendant cleared, 1 with a Class I recall1K892222 · 9.5F Percu Double Lumen Intra-Aortic Balloon · Kontron Instruments, Inc. · 19901990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 1 descendant3 generations forward: 2 descendants4 generations forward: 2 descendants5 generations forward: 5 descendants, 1 with a Class I recall16 generations forward: 4 descendants, 1 with a Class I recall17 generations forward: 3 descendants, 2 with a Class I recall28 generations forward: 1 descendant, 1 with a Class I recall1 K892222 · 9.5F Percu Double Lumen Intra-Aortic Balloon · Kontron Instruments, Inc. · 19900+5
  1. Root · 1 generation backK892222 9.5F Percu Double Lumen Intra-Aortic BalloonKontron Instruments, Inc. · 1990
  2. This deviceK963187 Modified Labeling of Cardiac Assist Intra-Aortic Balloon Catheters…Boston Scientific Corp · 1996
  3. Descendant · cites it directly · 18 of its ownK972113 30 CC and 40 CC Sub-9 Nitinol and 30 and 40 CC Sub-9 Stainless SteelBoston Scientific Corp · 1997
  4. Descendant · 2 generations on · 17 of its ownK980385 Datascope 8FR. CO-Lumen 34 and 40CC Intra-Aortic Balloon Catheters…Datascope Corp. · 1998
  5. Descendant · 3 generations on · 15 of its ownK994157 Datascope's 8FR. Polymide 25CC,34CC and 40CC Iab and Accessories…Datascope Corp. · 2000
  6. Descendant · 4 generations on · 14 of its ownK013326 Modification to: Datascope 8FR. Polyimide Alt B Iab, 25CC, 34CC…Datascope Corp. · 2001
  7. Descendant · 5 generations on · 12 of its ownK031569 Datascope CA 40 8FR. Iabs, Model 0684-00-04XXDatascope Corp. · 2003

Showing 5 of 21 descendants. See all descendants

Descendants cleared per year

1997: 21998: 22000: 12001: 12002: 12003: 12004: 12006: 12007: 12009: 22011: 22012: 12013: 12015: 12017: 22018: 1
1997high 2 (1997) · low 0 (1999)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 21 · See all
  • K97211330 CC and 40 CC Sub-9 Nitinol and 30 and 40 CC Sub-9 Stainless SteelBoston Scientific Corp · 1997 · cites it directly18descendants
  • K980385Datascope 8FR. CO-Lumen 34 and 40CC Intra-Aortic Balloon Catheters for Optional…Datascope Corp. · 1998 · 2 generations on17descendants
  • K994157Datascope's 8FR. Polymide 25CC,34CC and 40CC Iab and Accessories, Models 0684-00-0327…Datascope Corp. · 2000 · 3 generations on15descendants
  • K013326Modification to: Datascope 8FR. Polyimide Alt B Iab, 25CC, 34CC, 40CC, Datascope…Datascope Corp. · 2001 · 4 generations on14descendants
  • K031569Datascope CA 40 8FR. Iabs, Model 0684-00-04XXDatascope Corp. · 2003 · 5 generations on12descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K8922229.5F Percu Double Lumen Intra-Aortic BalloonKontron Instruments, Inc.1990—
0 (this device)K963187Modified Labeling of Cardiac Assist Intra-Aortic Balloon Catheters: Model 930…Boston Scientific Corp1996—
+1K97211330 CC and 40 CC Sub-9 Nitinol and 30 and 40 CC Sub-9 Stainless SteelBoston Scientific Corp1997—
+2K980385Datascope 8FR. CO-Lumen 34 and 40CC Intra-Aortic Balloon Catheters for…Datascope Corp.1998—
+3K994157Datascope's 8FR. Polymide 25CC,34CC and 40CC Iab and Accessories, Models…Datascope Corp.2000—
+4K013326Modification to: Datascope 8FR. Polyimide Alt B Iab, 25CC, 34CC, 40CC…Datascope Corp.2001—
+5K031569Datascope CA 40 8FR. Iabs, Model 0684-00-04XXDatascope Corp.2003—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
199720
199820
200010
200110
200210
200310
200410
200610
200711
200920
201121
201210
201310
201511
201721
201811
FIG. 1 — Lineage of K963187, 1990–2018Source: 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.

5 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
Get a 510(k) Report

What was it cleared against? (3)

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
*K910997Datascope Percor Stat Intra-Aortic Balloon
Summary page 1
…C. PREDICATE DEVICE INFORMATION The following devices are referenced in this premarket notification as predicate devices for the sheathless insertion of BSC/CA IAB's: K910997: Datascope 9.5 F 40 cc PERCOR STAT-DL. K892222: Kontron 9 F 40 cc IAB for Sheathless Insertion. These devices are currently lega…
Datascope Corp.1991—
*K8922229.5F Percu Double Lumen Intra-Aortic Balloon
Summary page 1
…devices are referenced in this premarket notification as predicate devices for the sheathless insertion of BSC/CA IAB's: K910997: Datascope 9.5 F 40 cc PERCOR STAT-DL. K892222: Kontron 9 F 40 cc IAB for Sheathless Insertion. These devices are currently legally marketed for sheathless insertion. 000597…
Kontron Instruments, Inc.1990—
*—Arrow 9 F 40 cc IAB
Named without a submission number
—

Also cleared against K910997: 2 other devices →

What descends from it? (21)

See all 21

3 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K97211330 CC and 40 CC Sub-9 Nitinol and 30 and 40 CC Sub-9 Stainless SteelBoston Scientific Corp199718
K97167340 CC SumoBoston Scientific Corp19971
K97424740 CC GrandeBoston Scientific Corp19980

Has anything in its family been recalled? (5 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.

  • K063525Datascope Fiber Optic Pressure Sensor Intra-Aortic Balloon Catheter and CS300 Intra-Aortic Balloon Pump…Datascope Corp. · 2007 · 5 generations on · ◆ in the 2007 descendants bar of FIG. 11 Class I recall
  • K112372Cardiosave Hybrid Intra-Aortic Balloon PumpCardiac Assist, Maquet Cardiovascular, LLC · 2011 · 6 generations on · ◆ in the 2011 descendants bar of FIG. 110 Class I recalls
  • K181122CARDIOSAVE Intra-Aortic Balloon PumpDatascope Corp. · 2018 · 7 generations on · ◆ in the 2018 descendants bar of FIG. 127 Class I recalls
  • K151254CARDIOSAVE Hybrid Intra-Aortic Balloon PumpDatascope Corp. · 2015 · 7 generations on · ◆ in the 2015 descendants bar of FIG. 112 Class I recalls
  • K163542CARDIOSAVE Hybrid and Rescue Intra-Aortic Balloon Pump, CARDIOSAVE Li-Ion Battery Transport and Storage CaseDatascope Corp. · 2017 · 8 generations on · ◆ in the 2017 descendants bar of FIG. 17 Class I recalls

What does this lineage say?

  • None of the 2 ancestors has a recall.
  • Of its descendants, K972113 (Boston Scientific Corp, 1997) has gone furthest, with 18 descendants of its own.
  • 2 other devices also cite its predicate K910997.

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.

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?

Refractory power failure.

Cardiogenic shock.

Unstable refractory angina.

Impending or extending myocardial infarction (MI).

Hemodynamically significant mechanical complications secondary to acute Mi:

* Ventricular septal defect.

* Mitral valve regurgitation.

* Papillary muscle rupture.

Angiography/angioplasty patients.

Septal shock.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K963187: Modified Labeling of Cardiac Assist Intra-Aortic Balloon Catheters: Model 930 - 940, 30 - 40 CC Sensation and Nicath 30C.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K963187

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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