Cleared Traditional

BELFORT-DILDY OBSTETRIC TAMPONADE SYSTEM (K091958) - FDA 510(k) Clearance

Class II Obstetrics & Gynecology device cleared through predicate-based substantial equivalence - typically does not require clinical trials.

K091958 · Glenveigh Surgical, LLC · Obstetrics & Gynecology device
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Apr 2010
Decision
303d
Days
Class 2
Risk

K091958 is an FDA 510(k) clearance for the BELFORT-DILDY OBSTETRIC TAMPONADE SYSTEM. Classified as Intrauterine Tamponade Balloon (product code OQY), Class II - Special Controls.

Submitted by Glenveigh Surgical, LLC (Swanee, US). The FDA issued a Cleared decision on April 30, 2010 after a review of 303 days - an unusually long review period, suggesting complex equivalence evaluation.

This device falls under the Obstetrics & Gynecology FDA review panel, regulated under 21 CFR 884.4530 - the FDA obstetrics and gynecology device framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Standard predicate-based submission. Elevated predicate reliance profile. This clearance follows a standard predicate-based equivalence path within the Obstetrics & Gynecology review framework, consistent with the majority of Class II 510(k) submissions.

View all Glenveigh Surgical, LLC devices

Submission Details

510(k) Number K091958 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received July 01, 2009
Decision Date April 30, 2010
Days to Decision 303 days
Submission Type Traditional
Review Panel Obstetrics & Gynecology (OB)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
143d slower than avg
Panel avg: 160d · This submission: 303d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

Device Classification

Product Code OQY Intrauterine Tamponade Balloon
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 884.4530
Definition Provides Temporary Control Or Reduction Of Postpartum Uterine Bleeding
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most Obstetrics & Gynecology devices follow this clearance model.

Regulatory Peers - OQY Intrauterine Tamponade Balloon

All 10
Devices cleared under the same product code (OQY) and FDA review panel - the closest regulatory comparables to K091958.
Jada System (Jada-2002)
K253642 · Organon, LLC · May 2026
ELLAVI UBT
K230849 · Sinapi Biomedical (Pty) , Ltd. · Nov 2023
Bakri Essential Postpartum Balloon
K223098 · Cook Incorporated · Oct 2022
Jada System
K212757 · Alydia Health · Sep 2021
Jada System
K201199 · Alydia Health · Aug 2020
Every Second Matters-Uterine Balloon Tamponade (“ESM-UBT”)
K191264 · Ujenzi Charitable Trust · Oct 2019