510(k) Report

De Novo · Granted

Granted

APOLLO ESG System, APOLLO ESG SX System, APOLLO REVISE System, APOLLO REVISE SX System

DEN210045De NovoGranted Jul 12, 2022285-day reviewClass II21 CFR 876.5983

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

Apollo Endosurgery, Inc. · QTD Endoscopic Suturing Device For Altering Gastric Anatomy For Weight Loss

Granted on Jul 12, 2022 as a new device type through De Novo after a 285-day review. 1 later device descends from it.

Decided
Jul 12, 2022
Review
285 days
Class
Class II
Product code
QTD
Recalls
None

1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2023: 1 descendant cleared2020202220242026
  1. This deviceDEN210045 APOLLO ESG System, APOLLO ESG SX System, APOLLO REVISE System…Apollo Endosurgery, Inc. · 2022
  2. Descendant · cites it directly · 0 of its ownK232544 Apollo ESG NXT System, Apollo REVISE NXT SystemApollo Endosurgery, Inc. · 2023

Most influential descendants

Showing 1 of 1 · See all
  • K232544Apollo ESG NXT System, Apollo REVISE NXT SystemApollo Endosurgery, Inc. · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)DEN210045APOLLO ESG System, APOLLO ESG SX System, APOLLO REVISE System, APOLLO REVISE…Apollo Endosurgery, Inc.2022—
+1K232544Apollo ESG NXT System, Apollo REVISE NXT SystemApollo Endosurgery, Inc.2023—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
FIG. 1 — Lineage of DEN210045, 2022–2023Source: 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 De Novo 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 QTD? 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 QTD device

  1. #1 K232544 Apollo ESG NXT System, Apollo REVISE NXT Systemscore 6.0 · 1 generation · no Class I recall
Get a 510(k) Report

Does it have a predicate?

De Novo decisions do not claim a predicate device.

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K232544Apollo ESG NXT System, Apollo REVISE NXT SystemApollo Endosurgery, Inc.20230

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?

  • Of its descendants, K232544 (Apollo Endosurgery, Inc., 2023) has gone furthest, with 0 descendants of its own.

How does its category compare?

All QTD devices

QTD Endoscopic Suturing Device For Altering Gastric Anatomy For Weight Loss: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · QTD

1in 2023

2022: 12023: 1
2007high 1 (2022) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QTD

Too few QTD 510(k)s in any year since 2007 to give a median.

Recalls per year · QTD

No recall names QTD since 2007.

Adverse event reports per year · QTD

1in 2025

2024: 12025: 1
2007high 1 (2024) · low 0 (2007)2025

MAUDE reports naming product code QTD, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20221—00
20231—00
20240—01
20250—01
20260—0—

What is it indicated for?

The APOLLO ESG and ESG SX Systems are intended to be used by trained gastroenterologists or surgeons that perform bariatric procedures to facilitate weight loss by reducing stomach volume through endoscopic sleeve gastroplasty in adult patients with obesity with BMI 30 -50 kg/m2 who have not been able to lose weight, or maintain weight loss, through more conservative measures.

The APOLLO REVISE and REVISE SX Systems are intended to be used by trained gastroenterologists or surgeons that perform bariatric procedures to facilitate weight loss in adult patients with obesity with BMI 30 - 50 kg/m2 by enabling transoral outlet reduction as a revision to a previous bariatric procedure.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “DEN210045: APOLLO ESG System, APOLLO ESG SX System, APOLLO REVISE System, APOLLO REVISE SX System.” Lineage record from FDA De Novo data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/DEN210045

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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