510(k) Report

510(k) · Cleared

Cleared

Intramed Side Branch Occlusion (Sbo) System (700095 and 700099)

K964021510(k) TraditionalCleared Mar 27, 1997171-day reviewClass II21 CFR 882.5950

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

Baxter Edwards · HCG Device, Neurovascular Embolization

Cleared on Mar 27, 1997 as substantially equivalent to K914523 (Catheter Research C/O Burditt, Bowles & Radzius, 1992) and 1 other predicate after a 171-day review. Its family tree reaches back 1 generation to 1990.

Decided
Mar 27, 1997
Review
171 days
Class
Class II
Product code
HCG
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K894459 (1990). 2 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 1992: 1 other ancestorK894459 · Angioscope · Intramed Laboratories, Inc. · 199019901992199419961998
Other ancestors, by generation 1 generation back: 1 other ancestor K894459 · Angioscope · Intramed Laboratories, Inc. · 19900
  1. Root · 1 generation backK894459 AngioscopeIntramed Laboratories, Inc. · 1990
  2. This deviceK964021 Intramed Side Branch Occlusion (Sbo) System (700095 and 700099)Baxter Edwards · 1997
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K894459AngioscopeIntramed Laboratories, Inc.1990—
0 (this device)K964021Intramed Side Branch Occlusion (Sbo) System (700095 and 700099)Baxter Edwards1997—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
FIG. 1 — Lineage of K964021, 1990–1997Source: 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 HCG? 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 HCG device

  1. #1 K252700 Optima Coil System (Optima Packing Coil System)score 20.6 · 26 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
*K914523Cri Vessel Occlusin System/Cri Occlusion Coil
Summary page 1
…ch Occlusion (SBO) System is substantially equivalent to the CRI Vessel Occlusion System/CRI Occlusion Coil, which was cleared for marketing under premarket notification K914523. The angioscope in the Introducer Catheter is substantially equivalent to the Intramed® .7 mm Passive Angioscope, which was clear…
Catheter Research C/O Burditt, Bowles & Radzius1992—
*K894459Angioscope
Summary page 1
…ification K914523. The angioscope in the Introducer Catheter is substantially equivalent to the Intramed® .7 mm Passive Angioscope, which was cleared for marketing under K894459. B. Device Name Intramed‘D Side Branch Occlgsion System, Models 700095 and 700098 C. Predicate Device The claim of substantial…
Intramed Laboratories, Inc.1990—

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?

  • None of the 2 ancestors has a recall.

How does its category compare?

All HCG devices

HCG Device, Neurovascular Embolization: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · HCG

3in 2025

2007: 82008: 92009: 72010: 82011: 92012: 72013: 72014: 52015: 52016: 72017: 52018: 42019: 12020: 22021: 52022: 32023: 22024: 42025: 32026 (partial year): 4
2007high 9 (2008) · low 1 (2019)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HCG

107in 2025

2007: 50 days median2008: 71 days median2009: 48 days median2010: 72 days median2011: 78 days median2012: 30 days median2013: 67 days median2014: 66 days median2015: 60 days median2016: 37 days median2017: 97 days median2018: 173 days median2021: 103 days median2022: 114 days median2024: 49 days median2025: 107 days median2026 (partial year): 30 days median
2007high 173 (2018) · low 30 (2012)2026

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

Recalls per year · HCG

1in 2025

2007: 12008: 32010: 22011: 12013: 22014: 42022: 22024: 12025: 1, 1 Class I2026 (partial year): 1
2007high 4 (2014) · low 0 (2009)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · HCG

537in 2025

2007: 3262008: 7302009: 8212010: 8512011: 8942012: 1,1462013: 1,1032014: 1,7292015: 1,5982016: 1,9912017: 2,4942018: 2,0582019: 1,7632020: 1,7542021: 2,2682022: 6632023: 5682024: 5522025: 537
2007high 2,494 (2017) · low 326 (2007)2025

MAUDE reports naming product code HCG, 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
20078501326
20089713730
20097480821
20108722851
20119781894
201273001,146
201376721,103
201456641,729
201556001,598
201673701,991
201759702,494
2018417302,058
20191—01,763
20202—01,754
2021510302,268
202231142663
20232—0568
20244491552
202531071 (1)537
20264301—

What is it indicated for?

The Intramed® SBO System is intended for the intravascular delivery and placement of occlusion coils into tributaries during in situ saphenous vein bypass graft procedures. The angioscope within the Introducer Catheter is intended to be used for vessel visualization, specifically to visualize the lumen of the saphenous vein during the in situ procedures.

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. “K964021: Intramed Side Branch Occlusion (Sbo) System (700095 and 700099).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K964021

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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