510(k) Report

510(k) · Cleared

Recalled · Class II · 2019

Modification to Optical Separator System

K041795510(k) TraditionalCleared Sep 14, 200474-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

Applied Medical Resources Corp. · GCJ Laparoscope, General & Plastic Surgery

Cleared on Sep 14, 2004 as substantially equivalent to K032889 (Applied Medical Resources, 2003) and 1 other predicate after a 74-day review. Its family tree reaches back 2 generations to 1999. 2 later devices descend from it. It has been recalled once.

Decided
Sep 14, 2004
Review
74 days
Class
Class II
Product code
GCJ
Recalls
1
Predicates
2

Its longest line of descent runs back 2 generations to K990028 (1999). 4 ancestors in all, the oldest K963359 (1996). 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 1 other ancestor2002: 1 other ancestor2007: 1 descendant cleared2011: 1 descendant clearedK990028 · Endopath Optiview Optical Surgical Obturator and Sleeve · Ethicon Endo-Surgery, Inc. · 1999K032889 · Optical Separator · Applied Medical Resources · 20031995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor 1 generation forward: 2 descendants K032889 · Optical Separator · Applied Medical Resources · 2003K990028 · Endopath Optiview Optical Surgical Obturator and Sleeve · Ethicon Endo-Surgery, Inc. · 19990
  1. Root · 2 generations backK990028 Endopath Optiview Optical Surgical Obturator and SleeveEthicon Endo-Surgery, Inc. · 1999
  2. 1 generation backK032889 Optical SeparatorApplied Medical Resources · 2003
  3. This deviceK041795 Modification to Optical Separator SystemApplied Medical Resources Corp. · 2004
  4. Descendant · cites it directly · 0 of its ownK111002 Reprocessed Endoscopic TrocarsSterilmed, Inc. · 2011
  5. Descendant · cites it directly · 0 of its ownK063788 Reprocessed Endoscopic Trocars and CannulasAscent Healthcare Solutions · 2007 · Recalled

Most influential descendants

Showing 2 of 2 · See all
  • K111002Reprocessed Endoscopic TrocarsSterilmed, Inc. · 2011 · cites it directly0descendants
  • K063788Reprocessed Endoscopic Trocars and CannulasAscent Healthcare Solutions · 2007 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K990028Endopath Optiview Optical Surgical Obturator and SleeveEthicon Endo-Surgery, Inc.1999—
−1K032889Optical SeparatorApplied Medical Resources2003—
0 (this device)K041795Modification to Optical Separator SystemApplied Medical Resources Corp.2004—
+1K111002Reprocessed Endoscopic TrocarsSterilmed, Inc.2011—
+1K063788Reprocessed Endoscopic Trocars and CannulasAscent Healthcare Solutions20073

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200710
201110
FIG. 1 — Lineage of K041795, 1999–2011Source: 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 GCJ? 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 GCJ device

  1. #1 K214046 780 nm 1688 4K Camera System, 780 nm L11 LED…score 21.4 · 21 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

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
*K032889Optical Separator
Summary page 1
…Plastic Surgery (21CFR 876.1500) TRADE NAME: Optical Separator System PREDICATE DEVICE: Applied Medical Optical Separator (K032889) Applied Medical Insufflation Needle (K9633 59) Applied…
Applied Medical Resources2003—
*K963359Insufflation Needle
Summary page 1
…arator System PREDICATE DEVICE: Applied Medical Optical Separator (K032889) Applied Medical Insufflation Needle (K9633 59) Applied Medical, Rancho Santa Margarita, CA INTENDED USE: The Optical Separator System is…
Applied Medical Resources1996—

Also cleared against K032889: 3 other devices →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K111002Reprocessed Endoscopic TrocarsSterilmed, Inc.20110
K063788Reprocessed Endoscopic Trocars and CannulasAscent Healthcare Solutions20070

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

Recalls of this device

DateClassRecallRoot causeReason
Jan 28, 2019Class IIZ-1959-2019PackagingThe product may not have met sterility requirements . Use of a non-sterile device on a patient may expose the patient to infectious agents.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 5 years and passes through 3 companies; a new generation was cleared every 4.5 years on median.
  • 1 of the 4 ancestors has a recall of any class.
  • Of its descendants, K111002 (Sterilmed, Inc., 2011) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K032889.

How does its category compare?

All GCJ devices

GCJ Laparoscope, General & Plastic Surgery: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GCJ

21in 2025

2007: 182008: 192009: 212010: 242011: 152012: 172013: 152014: 192015: 262016: 272017: 202018: 212019: 152020: 282021: 182022: 202023: 312024: 292025: 212026 (partial year): 26
2007high 31 (2023) · low 15 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GCJ

108in 2025

2007: 42 days median2008: 73 days median2009: 85 days median2010: 122 days median2011: 113 days median2012: 88 days median2013: 93 days median2014: 90 days median2015: 76 days median2016: 99 days median2017: 77 days median2018: 88 days median2019: 60 days median2020: 61 days median2021: 116 days median2022: 103 days median2023: 109 days median2024: 90 days median2025: 108 days median2026 (partial year): 122 days median
2007high 122 (2010) · low 42 (2007)2026

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

Recalls per year · GCJ

5in 2025

2007: 122008: 162009: 62010: 302011: 92012: 12013: 7, 1 Class I2014: 22016: 52017: 12018: 12022: 12023: 12025: 52026 (partial year): 1
2007high 30 (2010) · low 0 (2015)2026

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

Adverse event reports per year · GCJ

5,860in 2025

2007: 1,6392008: 1,3192009: 1,9952010: 2,6572011: 2,1332012: 1,5262013: 1,5652014: 1,7142015: 1,7102016: 2,0802017: 3,4682018: 2,5622019: 2,5782020: 2,6182021: 3,4312022: 3,9452023: 6,0022024: 6,0472025: 5,860
2007high 6,047 (2024) · low 1,319 (2008)2025

MAUDE reports naming product code GCJ, 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
20071842121,639
20081973161,319
2009218561,995
201024122302,657
20111511392,133
2012178811,526
201315937 (1)1,565
2014199021,714
2015267601,710
2016279952,080
2017207713,468
2018218812,562
2019156002,578
2020286102,618
20211811603,431
20222010313,945
20233110916,002
2024299006,047
20252110855,860
2026261221—

What is it indicated for?

The Optical Separator System is indicated for use in general, abdominal, gynecological and thoracic minimally invasive surgical procedures to establish a path of entry or to gain access through tissue planes and/or potential spaces for endoscopic instruments, and as a means of insufflating the peritoneum prior to laparoscopic procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K041795: Modification to Optical Separator System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K041795

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