Disposable Stone Retrieval Balloon Catheter

FDA 510(k) K253013 · Zhejiang Soudon Medical Technology Co., Ltd.

Substantially Equivalent

510(k) numberK253013

Submission

Device name
Disposable Stone Retrieval Balloon Catheter
Applicant
Zhejiang Soudon Medical Technology Co., Ltd.
Hangzhou, CN
Received
September 19, 2025
Decision date
May 8, 2026
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
GCA – Biliary Catheter For Stone Removal That May Also Allow For Irrigation And Contrast Injection
Device class
Class II (moderate risk)
Regulation
21 CFR 876.5010
Specialty
Gastroenterology, Urology

Other 510(k)s with product code GCA

510(k)DeviceApplicantDecision
K232752Stone Extraction Balloon (VDK-BAL-23-11/13/15-B,VDK-BAL-23-15/18/20-B,VDK-BAL-23-9/12/15-…GCA · Traditional Jiangsu Vedkang Medical Science and Technology…02/26/2024SE
K212582SpyGlass Discover Balloon Dilation CatheterGCA · Traditional Boston Scientific Corporation05/06/2022SE
K210660Stone Retrieval Balloon CatheterGCA · Traditional Anrei Medical (Hangzhou) Co., Ltd.04/27/2021SE
K200173Stone Retrieval BalloonGCA · Traditional Hangzhou AGS MedTech Co., Ltd.05/01/2020SE
K200247Fusion Quattro Extraction BalloonGCA · Special Wilson-Cook Medical, Inc.02/27/2020SE
K193344Tri-Ex Extraction Balloon with Multiple SizingGCA · Special Wilson-Cook Medical, Inc.12/13/2019SE
K173659Howell D.A.S.H Extraction Balloon with Multiple SizingGCA · Special Wilson-Cook Medical, Inc.07/06/2018SE
K173414Advance Biliary Balloon CatheterGCA · Traditional Cook Incorporated06/22/2018SESK
K170292Tri-Ex Extraction Balloon With Multiple SizingGCA · Special Wilson-Cook Medical, Inc.09/20/2017SE
K063677Fusion Quattro Extraction Balloon XLGCA · Special Wilson-Cook Medical, Inc.01/05/2007SE

More from Wilson-Cook Medical, Inc.

510(k)DeviceDecision
K253056Disposable Stone Extraction BasketLQR · Traditional 04/03/2026SE
K232450Disposable Hemostatic ClipsPKL · Traditional 01/26/2024SE
K232442Disposable Endoscope Injection NeedlesFBK · Traditional 11/09/2023SE
K232476Disposable SphincterotomeKNS · Traditional 11/07/2023SE

Questions and answers

When was Disposable Stone Retrieval Balloon Catheter cleared by the FDA?

Disposable Stone Retrieval Balloon Catheter (K253013) received a 510(k) decision of Substantially Equivalent on May 8, 2026, 231 days after the submission was received.

What is the product code of K253013?

The FDA product code is GCA – Biliary Catheter For Stone Removal That May Also Allow For Irrigation And Contrast Injection, a Class II (moderate risk) device regulated under 21 CFR 876.5010.