510(k) Report

510(k) · Cleared

Recalled · 2007

Modification to Endoscopic Plication System

K032820510(k) SpecialCleared Oct 23, 200343-day reviewClass II21 CFR 876.1500Recalls 1

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 Oct 23, 2003 as substantially equivalent to K023234 (Ndo Surgical, Inc., 2003) after a 43-day review. Its family tree reaches back 1 generation to 2003. 11 later devices descend from it. It has been recalled once.

Decided
Oct 23, 2003
Review
43 days
Class
Class II
Product code
ODE
Recalls
1
Predicates
1

Its longest line of descent runs back 1 generation to K023234 (2003). 11 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2007: 2 descendants cleared2008: 1 descendant cleared2024: 1 descendant cleared2012: 2 descendants cleared2010: 1 descendant cleared2011: 1 descendant cleared2014: 1 descendant cleared2015: 2 descendants clearedK023234 · Endoscopic Plication System · Ndo Surgical, Inc. · 2003200020052010201520202025
Descendants, by generation 1 generation forward: 2 descendants2 generations forward: 4 descendants3 generations forward: 2 descendants4 generations forward: 2 descendants5 generations forward: 1 descendant K023234 · Endoscopic Plication System · Ndo Surgical, Inc. · 20030+5
  1. Root · 1 generation backK023234 Endoscopic Plication SystemNdo Surgical, Inc. · 2003
  2. This deviceK032820 Modification to Endoscopic Plication SystemNdo Surgical, Inc. · 2003
  3. Descendant · cites it directly · 10 of its ownK071553 Endoscopic Plication System; Eps; PlicatorNdo Surgical, Inc. · 2007
  4. Descendant · 2 generations on · 4 of its ownK072125 Endoscopic Plication System, Eps, Eplicator, Plicator InstrumentNdo Surgical, Inc. · 2007
  5. Descendant · 2 generations on · 3 of its ownK120299 SRS Endoscopic Stapling SystemMedigus, Ltd. · 2012
  6. Descendant · cites it directly · 3 of its ownK073671 Plicator GSX Suturing System, Plicator GSX, Plicator Instrument…Ndo Surgical, Inc. · 2008
  7. Descendant · 3 generations on · 2 of its ownK132151 SRS Endoscopic Stapling SystemMedigus, Ltd. · 2014

Showing 5 of 11 descendants. See all descendants

Descendants cleared per year

2007: 22008: 12010: 12011: 12012: 22014: 12015: 22024: 1
2007high 2 (2007) · low 0 (2009)2026

Most influential descendants

Showing 5 of 11 · See all
  • K071553Endoscopic Plication System; Eps; PlicatorNdo Surgical, Inc. · 2007 · cites it directly10descendants
  • K072125Endoscopic Plication System, Eps, Eplicator, Plicator InstrumentNdo Surgical, Inc. · 2007 · 2 generations on4descendants
  • K120299SRS Endoscopic Stapling SystemMedigus, Ltd. · 2012 · 2 generations on3descendants
  • K073671Plicator GSX Suturing System, Plicator GSX, Plicator Instrument, Plicator GSX Suture…Ndo Surgical, Inc. · 2008 · cites it directly3descendants
  • K132151SRS Endoscopic Stapling SystemMedigus, Ltd. · 2014 · 3 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K023234Endoscopic Plication SystemNdo Surgical, Inc.2003—
0 (this device)K032820Modification to Endoscopic Plication SystemNdo Surgical, Inc.2003—
+1K071553Endoscopic Plication System; Eps; PlicatorNdo Surgical, Inc.2007—
+2K072125Endoscopic Plication System, Eps, Eplicator, Plicator InstrumentNdo Surgical, Inc.2007—
+2K120299SRS Endoscopic Stapling SystemMedigus, Ltd.2012—
+1K073671Plicator GSX Suturing System, Plicator GSX, Plicator Instrument, Plicator GSX…Ndo Surgical, Inc.2008—
+3K132151SRS Endoscopic Stapling SystemMedigus, Ltd.2014—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200720
200810
201010
201110
201220
201410
201520
202410
FIG. 1 — Lineage of K032820, 2003–2024Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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
*K023234Endoscopic Plication System
Summary page 4
…e Name: NDO Surgical Endoscopic Plication System Class: II Classification Name: Endoscope and accessories 3. PREDICATE DEVICE: NDO Surgical Endoscopic Plication System (K023234) 4. DEVICE DESCRIPTION: The NDO Surgical Endoscopic Plication System is a device intended to deliver an implant in the stomach n…
Ndo Surgical, Inc.2003—

Also cleared against K023234: 5 other devices →

What descends from it? (11)

See all 11

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

NumberDeviceApplicantDecidedDescendants
K071553Endoscopic Plication System; Eps; PlicatorNdo Surgical, Inc.200710
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)

Recalls of this device

DateClassRecallRoot causeReason
Jan 26, 2007Not classifiedZ-0685-2007Process designDevice arm may fail to open after being deployed and require surgical intervention to remove

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has no recall.
  • Of its descendants, K071553 (Ndo Surgical, Inc., 2007) has gone furthest, with 10 descendants of its own.
  • 5 other devices also cite its predicate K023234.

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 pharmacological 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. “K032820: Modification to Endoscopic Plication System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K032820

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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