510(k) Report

510(k) · Cleared

Cleared

Endoscopic Plication System

K023234510(k) TraditionalCleared Apr 17, 2003202-day reviewClass II21 CFR 876.1500

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

Ndo Surgical, Inc. · ODE Endoscopic Suture/Plication System, Gastroesophageal Reflux Disease (Gerd)

Cleared on Apr 17, 2003 after a 202-day review. The FDA summary names its predicate without a number. 25 later devices descend from it.

Decided
Apr 17, 2003
Review
202 days
Class
Class II
Product code
ODE
Recalls
None
Predicates
0

25 later devices descend from it, 6 citing it directly.

Descendants, by year cleared 2007: 3 descendants cleared2003: 2 descendants cleared2012: 2 descendants cleared2008: 2 descendants cleared2024: 2 descendants cleared2009: 2 descendants cleared2010: 3 descendants cleared2014: 2 descendants cleared2011: 1 descendant cleared2015: 3 descendants cleared2017: 2 descendants cleared2016: 1 descendant cleared200020052010201520202025
  1. This deviceK023234 Endoscopic Plication SystemNdo Surgical, Inc. · 2003
  2. Descendant · cites it directly · 15 of its ownK071651 Egs Serosafuse Implantable Fasteners, Associated Delivery Devices…Endogastric Solutions, Inc. · 2007
  3. Descendant · cites it directly · 11 of its ownK032820 Modification to Endoscopic Plication SystemNdo Surgical, Inc. · 2003 · Recalled
  4. Descendant · cites it directly · 10 of its ownK071553 Endoscopic Plication System; Eps; PlicatorNdo Surgical, Inc. · 2007
  5. Descendant · 2 generations on · 6 of its ownK092400 Endogastric Solutions ESOPHYX2 System with Serosafuse Fastener and…Endogastric Solutions, Inc. · 2009 · Recalled
  6. Descendant · 3 generations on · 5 of its ownK142113 ESOPHYX2 HDEndogastric Solutions, Inc. · 2014

Showing 5 of 25 descendants. See all descendants

Descendants cleared per year

2003: 22007: 32008: 22009: 22010: 32011: 12012: 22014: 22015: 32016: 12017: 22024: 2
2003high 3 (2007) · low 0 (2004)2026

Most influential descendants

Showing 5 of 25 · See all
  • K071651Egs Serosafuse Implantable Fasteners, Associated Delivery Devices and AccessoriesEndogastric Solutions, Inc. · 2007 · cites it directly15descendants
  • K032820Modification to Endoscopic Plication SystemNdo Surgical, Inc. · 2003 · cites it directly11descendants
  • K071553Endoscopic Plication System; Eps; PlicatorNdo Surgical, Inc. · 2007 · cites it directly10descendants
  • K092400Endogastric Solutions ESOPHYX2 System with Serosafuse Fastener and Accessories, Model…Endogastric Solutions, Inc. · 2009 · 2 generations on6descendants
  • K142113ESOPHYX2 HDEndogastric Solutions, Inc. · 2014 · 3 generations on5descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K023234Endoscopic Plication SystemNdo Surgical, Inc.2003—
+1K071651Egs Serosafuse Implantable Fasteners, Associated Delivery Devices and…Endogastric Solutions, Inc.2007—
+1K032820Modification to Endoscopic Plication SystemNdo Surgical, Inc.20031
+1K071553Endoscopic Plication System; Eps; PlicatorNdo Surgical, Inc.2007—
+2K092400Endogastric Solutions ESOPHYX2 System with Serosafuse Fastener and…Endogastric Solutions, Inc.20092
+3K142113ESOPHYX2 HDEndogastric Solutions, Inc.2014—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200320
200730
200820
200920
201030
201110
201220
201420
201530
201610
201720
202420
FIG. 1 — Lineage of K023234, 2003–2024Source: 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 ODE? 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 ODE device

  1. #1 K240879 EsophyX Z+ Device with SerosaFuse Fasteners…score 8.2 · 11 generations · no Class I recall
  2. #2 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (1)

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
*—Bard EndoCinch Suturing System
Named without a submission number
—

What descends from it? (25)

See all 25

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

NumberDeviceApplicantDecidedDescendants
K071651Egs Serosafuse Implantable Fasteners, Associated Delivery Devices and AccessoriesEndogastric Solutions, Inc.200715
K032820Modification to Endoscopic Plication SystemNdo Surgical, Inc.200311
K071553Endoscopic Plication System; Eps; PlicatorNdo Surgical, Inc.200710
K031262Endoscopic Plication System, Model 160-00760Ndo Surgical, Inc.20034
K120299SRS Endoscopic Stapling SystemMedigus, Ltd.20123
K073671Plicator GSX Suturing System, Plicator GSX, Plicator Instrument, Plicator GSX Suture…Ndo Surgical, Inc.20083

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, K071651 (Endogastric Solutions, Inc., 2007) has gone furthest, with 15 descendants of its own.

How does its category compare?

All ODE devices

ODE Endoscopic Suture/Plication System, Gastroesophageal Reflux Disease (Gerd): FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · ODE

2in 2024

2007: 32009: 12012: 12014: 22015: 32016: 12017: 22024: 2
2007high 3 (2007) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ODE

51in 2015

2007: 88 days median2015: 51 days median
2007high 88 (2007) · low 51 (2015)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · ODE

No recall names ODE since 2007.

Adverse event reports per year · ODE

39in 2025

2007: 22008: 72009: 82010: 252011: 282012: 252013: 212014: 72015: 52016: 122017: 122018: 112019: 102020: 182021: 242022: 162023: 282024: 412025: 39
2007high 41 (2024) · low 2 (2007)2025

MAUDE reports naming product code ODE, 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
200738802
20080—07
20091—08
20100—025
20110—028
20121—025
20130—021
20142—07
201535105
20161—012
20172—012
20180—011
20190—010
20200—018
20210—024
20220—016
20230—028
20242—041
20250—039
20260—0—

What is it indicated for?

The NDO EPS System is indicated for the treatment of the symptoms of chronic gastroesophageal reflux disease (GERD) in patients who require and respond to phammacological therapy.

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. “K023234: Endoscopic Plication System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K023234

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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