Cleared Traditional

K921659 - ULTRA LOW POROSITY DACRON WOVEN PATCH

K921659 is the FDA 510(k) clearance for ULTRA LOW POROSITY DACRON WOVEN PATCH by Intervascular, Inc.. It is a Class 2 Cardiovascular device (product code DXZ) cleared through the Traditional 510(k) pathway after a 232-day FDA review.

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Nov 1992
Decision
232d
Days
Class 2
Risk

K921659 is an FDA 510(k) clearance for the ULTRA LOW POROSITY DACRON WOVEN PATCH. Classified as Patch, Pledget And Intracardiac, Petp, Ptfe, Polypropylene (product code DXZ), Class II - Special Controls.

Submitted by Intervascular, Inc. (Clearwater, US). The FDA issued a Cleared decision on November 25, 1992 after a review of 232 days - an extended review cycle.

This device falls under the Cardiovascular FDA review panel, regulated under 21 CFR 870.3470 - the FDA cardiovascular device oversight 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. Standard predicate reliance. This clearance follows a standard predicate-based equivalence path within the Cardiovascular review framework, consistent with the majority of Class II 510(k) submissions.

View all Intervascular, Inc. devices

Submission Details

510(k) Number K921659 FDA.gov
FDA Decision Cleared Substantially Equivalent - Product Development Protocol (SESP)
Date Received April 07, 1992
Decision Date November 25, 1992
Days to Decision 232 days
Submission Type Traditional
Review Panel Cardiovascular (CV)
Summary Statement
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
107d slower than avg
Panel avg: 125d · This submission: 232d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

Device Classification

Product Code DXZ Patch, Pledget And Intracardiac, Petp, Ptfe, Polypropylene
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 870.3470
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 Cardiovascular devices follow this clearance model.

Regulatory Peers - DXZ Patch, Pledget And Intracardiac, Petp, Ptfe, Polypropylene

All 39
Devices cleared under the same product code (DXZ) and FDA review panel - the closest regulatory comparables to K921659.
GORE-TEX CARDIOVASCULAR PATCH
K940906 · W.L. Gore & Associates, Inc. · May 1994
GORE-TEX CARDIOVASCULAR PATCH & SURGICAL MEMBRANE
K930950 · W.L. Gore & Associates, Inc. · Oct 1993
HEMASHIELD MICROVEL/WOVEN DOUBLE VELOUR FABRIC
K931386 · Meadox Medicals, Div. Boston Scientific Corp. · May 1993
CARDIOVASCULAR REPAIR PATCH
K905073 · Impra, Inc. · Dec 1991
GORE-TEX(R) CARDIOVASCULAR PATCH, PROCESS CHANGE
K914448 · W.L. Gore & Associates, Inc. · Nov 1991
GORE-TEX(R) SURGICAL MEMBRANE, PROCESS CHANGE
K914450 · W.L. Gore & Associates, Inc. · Nov 1991