# K042659: Medisiss Reprocessed Non-Electric GI Biopsy Forceps

- Pathway: 510(k) (Traditional)
- Applicant: Medisiss
- Decided: Feb 14, 2005 after 139 days
- Product code: NON (Forceps, Biopsy, Non-Electric, Reprocessed)
- Device class: 1
- Regulation: 21 CFR 876.1075
- Recalls of this device: none
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 1 generation back to K900015 (1990). 3 ancestors in all.
No later device cites it as a predicate yet.
0 of 4 devices in its family (counting itself) have a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K912549: Bard (R) Disposable Biopsy Forceps, C.R. Bard, Inc. (1991) Summary page 1.
- K900015: Non-Electric Biopsy Forceps, Esco Precision, Inc. (1990) Summary page 1.
- K955065: Olympus FB Series Biopsy Forceps, Olympus America, Inc. (1996) Summary page 1.

## Indications for use
The MediSISS Reprocessed Non-electric Biopsy Forceps are intended to be used to remove polyps, and obtain a specimen of tissue for microscopic examination.

Source page: https://510kreport.com/device/K042659
Methodology: https://510kreport.com/methodology