510(k) Report

510(k) · Cleared

Cleared

Given Diagnostic System with Pillcam Eso

K042960510(k) SpecialCleared Nov 24, 200428-day reviewClass II21 CFR 876.1300

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

Given Imaging, Ltd. · NSI System, Imaging, Esophageal, Wireless, Capsule

Cleared on Nov 24, 2004 as substantially equivalent to K041149 (Given Imaging, Ltd., 2004) after a 28-day review. Its family tree reaches back 8 generations to 2001. 32 later devices descend from it.

Decided
Nov 24, 2004
Review
28 days
Class
Class II
Product code
NSI
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to DEN010002 (2001). 32 later devices descend from it, 4 citing it directly.

Descendants, by year cleared 2006: 3 descendants cleared2007: 3 descendants cleared2005: 1 descendant cleared2009: 2 descendants cleared2011: 3 descendants cleared2014: 3 descendants cleared2016: 2 descendants cleared2012: 1 descendant cleared2018: 3 descendants cleared2013: 2 descendants cleared2021: 1 descendant cleared2017: 2 descendants cleared2022: 1 descendant cleared2024: 2 descendants cleared2023: 1 descendant cleared2015: 1 descendant cleared2026: 1 descendant clearedDEN010002 · Given Diagnostic Imaging System · Given Imaging, Ltd. · 2001×2: 2 generations cleared close together, K020341 (2002), K022362 (2002) K022980 · Modification to Given Diagnostic System · Given Imaging, Ltd. · 2003K031033 · Given Diagnostic System · Given Imaging, Ltd. · 2003K032405 · Given Diagnostic System · Given Imaging, Ltd. · 2003K040248 · Modification to Given Diagnostic System · Given Imaging, Ltd. · 2004K041149 · Given Diagnostic System with M2A Eso Capsule · Given Imaging, Ltd. · 2004200020052010201520202025
  1. Root · 8 generations backDEN010002 Given Diagnostic Imaging SystemGiven Imaging, Ltd. · 2001
  2. 7 generations backK020341 Given Diagnostic SystemGiven Imaging, Ltd. · 2002
  3. 6 generations backK022362 Given Diagnostics SystemGiven Imaging, Ltd. · 2002
  4. 5 generations backK022980 Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2003
  5. 4 generations backK031033 Given Diagnostic SystemGiven Imaging, Ltd. · 2003
  6. 3 generations backK032405 Given Diagnostic SystemGiven Imaging, Ltd. · 2003
  7. 2 generations backK040248 Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2004
  8. 1 generation backK041149 Given Diagnostic System with M2A Eso CapsuleGiven Imaging, Ltd. · 2004
  9. This deviceK042960 Given Diagnostic System with Pillcam EsoGiven Imaging, Ltd. · 2004
  10. Descendant · cites it directly · 30 of its ownK052184 Given Diagnostic SystemGiven Imaging, Ltd. · 2005
  11. Descendant · cites it directly · 28 of its ownK060805 Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2006
  12. Descendant · 2 generations on · 26 of its ownK062786 Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2006
  13. Descendant · 2 generations on · 25 of its ownK070475 Modificaton to: Given Diagnostic Imaging SystemGiven Imaging, Ltd. · 2007
  14. Descendant · cites it directly · 20 of its ownK053639 Given Diagnostic SystemGiven Imaging, Ltd. · 2006

Showing 5 of 32 descendants. See all descendants

Descendants cleared per year

2005: 12006: 32007: 32009: 22011: 32012: 12013: 22014: 32015: 12016: 22017: 22018: 32021: 12022: 12023: 12024: 22026: 1
2005high 3 (2006) · low 0 (2008)2026

Most influential descendants

Showing 5 of 32 · See all
  • K052184Given Diagnostic SystemGiven Imaging, Ltd. · 2005 · cites it directly30descendants
  • K060805Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2006 · cites it directly28descendants
  • K062786Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2006 · 2 generations on26descendants
  • K070475Modificaton to: Given Diagnostic Imaging SystemGiven Imaging, Ltd. · 2007 · 2 generations on25descendants
  • K053639Given Diagnostic SystemGiven Imaging, Ltd. · 2006 · cites it directly20descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8DEN010002Given Diagnostic Imaging SystemGiven Imaging, Ltd.2001—
−7K020341Given Diagnostic SystemGiven Imaging, Ltd.2002—
−6K022362Given Diagnostics SystemGiven Imaging, Ltd.2002—
−5K022980Modification to Given Diagnostic SystemGiven Imaging, Ltd.2003—
−4K031033Given Diagnostic SystemGiven Imaging, Ltd.2003—
−3K032405Given Diagnostic SystemGiven Imaging, Ltd.2003—
−2K040248Modification to Given Diagnostic SystemGiven Imaging, Ltd.2004—
−1K041149Given Diagnostic System with M2A Eso CapsuleGiven Imaging, Ltd.2004—
0 (this device)K042960Given Diagnostic System with Pillcam EsoGiven Imaging, Ltd.2004—
+1K052184Given Diagnostic SystemGiven Imaging, Ltd.2005—
+1K060805Modification to Given Diagnostic SystemGiven Imaging, Ltd.2006—
+2K062786Modification to Given Diagnostic SystemGiven Imaging, Ltd.2006—
+2K070475Modificaton to: Given Diagnostic Imaging SystemGiven Imaging, Ltd.2007—
+1K053639Given Diagnostic SystemGiven Imaging, Ltd.2006—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
200630
200730
200920
201130
201210
201320
201430
201510
201620
201720
201830
202110
202210
202310
202420
202610
FIG. 1 — Lineage of K042960, 2001–2026Source: 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 NSI? 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? (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
*K041149Given Diagnostic System with M2A Eso Capsule
Summary page 1
…(product code 78 NSI) and they are reviewed by the Gastroenterology Panel. Predicate Device: Given® Diagnostic System with PillCam T M (M2A®) ESO Capsule (K041149) 6-3…
Given Imaging, Ltd.2004—

Also cleared against K041149: 4 other devices →

What descends from it? (32)

See all 32

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

NumberDeviceApplicantDecidedDescendants
K052184Given Diagnostic SystemGiven Imaging, Ltd.200530
K060805Modification to Given Diagnostic SystemGiven Imaging, Ltd.200628
K053639Given Diagnostic SystemGiven Imaging, Ltd.200620
K071153Given Diagnostic System with Pillcam ESO2 CapsuleGiven Imaging, Ltd.200713

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?

  • The line of descent spans 3 years and passes through 1 company; a new generation was cleared every 4 months on median.
  • None of the 8 ancestors has a recall.
  • Of its descendants, K052184 (Given Imaging, Ltd., 2005) has gone furthest, with 30 descendants of its own.
  • 4 other devices also cite its predicate K041149.

How does its category compare?

All NSI devices

NSI System, Imaging, Esophageal, Wireless, Capsule: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · NSI

1in 2018

2007: 12009: 12018: 1
2007high 1 (2007) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NSI

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

Recalls per year · NSI

No recall names NSI since 2007.

Adverse event reports per year · NSI

1in 2023

2009: 12010: 12012: 12014: 22015: 12016: 32017: 12018: 152019: 32020: 12023: 1
2007high 15 (2018) · low 0 (2007)2025

MAUDE reports naming product code NSI, 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
20071—00
20080—00
20091—01
20100—01
20110—00
20120—01
20130—00
20140—02
20150—01
20160—03
20170—01
20181—015
20190—03
20200—01
20210—00
20220—00
20230—01
20240—00
20250—00
20260—0—

What is it indicated for?

The Given® Diagnostic System with the PillCam™ ESO Capsule is intended

for the visualization of esophageal mucosa.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K042960: Given Diagnostic System with Pillcam Eso.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K042960

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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