510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

HX-5/6-1 Endoscopic Clipping Device

K013066510(k) TraditionalCleared Dec 11, 200190-day reviewClass II21 CFR 876.4400Recalls 1

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

Olympus America, Inc. · MND Ligator, Esophageal

Cleared on Dec 11, 2001 as substantially equivalent to K963160 (Olympus America, Inc., 1997) and 1 other predicate after a 90-day review. Its family tree reaches back 2 generations to 1997. 53 later devices descend from it. It has been recalled once.

Decided
Dec 11, 2001
Review
90 days
Class
Class II
Product code
MND
Recalls
1
Predicates
2

Its longest line of descent runs back 2 generations to K963160 (1997). 53 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2013: 1 descendant cleared2004: 1 descendant cleared2012: 2 descendants cleared2010: 2 descendants cleared2019: 3 descendants cleared2022: 9 descendants cleared2024: 7 descendants cleared2014: 1 descendant cleared2015: 2 descendants cleared2018: 5 descendants cleared2020: 5 descendants cleared2017: 1 descendant cleared2023: 2 descendants cleared2025: 6 descendants cleared2021: 2 descendants cleared2026: 4 descendants clearedK963160 · HX-5/6-1 Endoscopic Clipping Device · Olympus America, Inc. · 1997K990687 · HX-5/6-1 Endoscopic Clipping Device, Endoscopic Clips · Olympus Optical, Co. · 19991995200020052010201520202025
Descendants, by generation 1 generation forward: 2 descendants2 generations forward: 4 descendants3 generations forward: 8 descendants4 generations forward: 15 descendants5 generations forward: 14 descendants6 generations forward: 8 descendants7 generations forward: 1 descendant8 generations forward: 1 descendant K990687 · HX-5/6-1 Endoscopic Clipping Device, Endoscopic Clips · Olympus Optical, Co. · 1999K963160 · HX-5/6-1 Endoscopic Clipping Device · Olympus America, Inc. · 19970+5
  1. Root · 2 generations backK963160 HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc. · 1997
  2. 1 generation backK990687 HX-5/6-1 Endoscopic Clipping Device, Endoscopic ClipsOlympus Optical, Co. · 1999
  3. This deviceK013066 HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc. · 2001
  4. Descendant · cites it directly · 48 of its ownK040148 Resolution Hemostasis Clipping DeviceBoston Scientific Corp · 2004 · Recalled
  5. Descendant · 2 generations on · 39 of its ownK122660 Resolution Clip Model M00522600, M00522601, M00522602, M00522610…Boston Scientific Corporation · 2012
  6. Descendant · 3 generations on · 23 of its ownK142973 Resolution ClipBoston Scientific Corporation · 2014
  7. Descendant · 4 generations on · 19 of its ownK151802 Resolution ClipBoston Scientific Corporation · 2015
  8. Descendant · 3 generations on · 15 of its ownK152001 Sterile Repositionable Hemostasis Clipping DeviceMicro-Tech (Nanjing) Co., Ltd. · 2015

Showing 5 of 53 descendants. See all descendants

Descendants cleared per year

2004: 12010: 22012: 22013: 12014: 12015: 22017: 12018: 52019: 32020: 52021: 22022: 92023: 22024: 72025: 62026: 4
2004high 9 (2022) · low 0 (2005)2026

Most influential descendants

Showing 5 of 53 · See all
  • K040148Resolution Hemostasis Clipping DeviceBoston Scientific Corp · 2004 · cites it directly48descendants
  • K122660Resolution Clip Model M00522600, M00522601, M00522602, M00522610, M00522611, M00522612Boston Scientific Corporation · 2012 · 2 generations on39descendants
  • K142973Resolution ClipBoston Scientific Corporation · 2014 · 3 generations on23descendants
  • K151802Resolution ClipBoston Scientific Corporation · 2015 · 4 generations on19descendants
  • K152001Sterile Repositionable Hemostasis Clipping DeviceMicro-Tech (Nanjing) Co., Ltd. · 2015 · 3 generations on15descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K963160HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc.1997—
−1K990687HX-5/6-1 Endoscopic Clipping Device, Endoscopic ClipsOlympus Optical, Co.1999—
0 (this device)K013066HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc.2001—
+1K040148Resolution Hemostasis Clipping DeviceBoston Scientific Corp20042
+2K122660Resolution Clip Model M00522600, M00522601, M00522602, M00522610, M00522611…Boston Scientific Corporation2012—
+3K142973Resolution ClipBoston Scientific Corporation2014—
+4K151802Resolution ClipBoston Scientific Corporation2015—
+3K152001Sterile Repositionable Hemostasis Clipping DeviceMicro-Tech (Nanjing) Co., Ltd.2015—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200410
201020
201220
201310
201410
201520
201710
201850
201930
202050
202120
202290
202320
202470
202560
202640
FIG. 1 — Lineage of K013066, 1997–2026Source: 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 MND? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin 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
*K963160HX-5/6-1 Endoscopic Clipping Device
Summary page 4
…Device Classification Name : Endoscope and accessories Class :Class I Classification Number: 21CFR 876.1500 Predicate Device : HX-5/6-1 Endoscopic Clipping Device #K963160 Olympus HX-5/6 Endoscopic Clipping Device #K990687 | 'SSIWIANOATS 10 K)oes ) 1OAITB PNOC jer) uBsap 10 Yerragem ‘…
Olympus America, Inc.1997—
*K990687HX-5/6-1 Endoscopic Clipping Device, Endoscopic Clips
Summary page 4
…ories Class :Class I Classification Number: 21CFR 876.1500 Predicate Device : HX-5/6-1 Endoscopic Clipping Device #K963160 Olympus HX-5/6 Endoscopic Clipping Device #K990687 | 'SSIWIANOATS 10 K)oes ) 1OAITB PNOC jer) uBsap 10 Yerragem ‘woperado 30 POTIouT ‘95N PIPEONN uf s3Bmerno Jreogy…
Olympus Optical, Co.1999—

Also cleared against K963160: 3 other devices →

What descends from it? (53)

See all 53

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K040148Resolution Hemostasis Clipping DeviceBoston Scientific Corp200448
K123601Single Use Repositionable ClipOlympus Medical Systems Corp.20133

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Feb 23, 2023Class IIZ-1418-2023Process change controlThere have been complaints that the clip did not come out of the tube sheath during the procedure.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 4 years and passes through 2 companies; a new generation was cleared every 2.7 years on median.
  • None of the 2 ancestors has a recall.
  • Of its descendants, K040148 (Boston Scientific Corp, 2004) has gone furthest, with 48 descendants of its own.
  • 3 other devices also cite its predicate K963160.

How does its category compare?

All MND devices

MND Ligator, Esophageal: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MND

1in 2013

2008: 12009: 12013: 1
2007high 1 (2008) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MND

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

Recalls per year · MND

1in 2025

2010: 12011: 12020: 12025: 1, 1 Class I
2007high 1 (2010) · low 0 (2007)2026

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

Adverse event reports per year · MND

1,083in 2025

2007: 842008: 4512009: 1,1612010: 6002011: 6722012: 7192013: 7502014: 1172015: 762016: 942017: 882018: 1242019: 2942020: 3452021: 6742022: 8082023: 6892024: 9212025: 1,083
2007high 1,161 (2009) · low 76 (2015)2025

MAUDE reports naming product code MND, 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—084
20081—0451
20091—01,161
20100—1600
20110—1672
20120—0719
20131—0750
20140—0117
20150—076
20160—094
20170—088
20180—0124
20190—0294
20200—1345
20210—0674
20220—0808
20230—0689
20240—0921
20250—1 (1)1,083
20260—0—

What is it indicated for?

Olympus HX-5/6-1 Rotatable Clip Fixing Devices are designed to be used for the following indications:

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. “K013066: HX-5/6-1 Endoscopic Clipping Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K013066

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026