510(k) Report

510(k) · Cleared

Cleared

Modification to Gyrus Acmi Invisio Icn, Models Icn-0564 and Icn-0565

K090814510(k) SpecialCleared Apr 20, 200926-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

Gyrus Acmi, Inc. · FAJ Cystoscope And Accessories, Flexible/Rigid

Cleared on Apr 20, 2009 as substantially equivalent to K042225 (Acmi Corporation, 2004) after a 26-day review. Its family tree reaches back 6 generations to 1993. 1 of the 18 devices in its family, counting itself, has a Class I recall.

Decided
Apr 20, 2009
Review
26 days
Class
Class II
Product code
FAJ
Recalls
None
Predicates
1

Its longest line of descent runs back 6 generations to K931154 (1993). 17 ancestors in all, the oldest K843084 (1985). No later device cites it as a predicate yet. 1 of the 18 devices in this family, counting this one, has a Class I recall.

  1. Root · 6 generations backK931154 Evis 200 SystemOlympus Corp. · 1993
  2. 5 generations backK963033 BF 240/P240/IT240 Bronchovideoscope & AccessoriesOlympus America, Inc. · 1996 · Recalled
  3. 4 generations backK981543 Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories…The Olympus Optical Co. · 1998 · Recalled
  4. 3 generations backK021074 Visera Cystovideoscope Olympus Cyf Type V/VAOlympus America, Inc. · 2002
  5. 2 generations backK030960 Ecn Electronic Video CystonephroscopeAcmi Corporation · 2003
  6. 1 generation backK042225 Acmi Invisio Icn, Models Icn-0564 and Icn-0565Acmi Corporation · 2004
  7. This deviceK090814 Modification to Gyrus Acmi Invisio Icn, Models Icn-0564 and Icn-0565Gyrus Acmi, Inc. · 2009

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K931154Evis 200 SystemOlympus Corp.1993—
−5K963033BF 240/P240/IT240 Bronchovideoscope & AccessoriesOlympus America, Inc.19966
−4K981543Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories and…The Olympus Optical Co.19985
−3K021074Visera Cystovideoscope Olympus Cyf Type V/VAOlympus America, Inc.2002—
−2K030960Ecn Electronic Video CystonephroscopeAcmi Corporation2003—
−1K042225Acmi Invisio Icn, Models Icn-0564 and Icn-0565Acmi Corporation2004—
0 (this device)K090814Modification to Gyrus Acmi Invisio Icn, Models Icn-0564 and Icn-0565Gyrus Acmi, Inc.2009—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198520
199121
199210
199310
199520
200010
200120
FIG. 1 — Lineage of K090814, 1993–2009Source: 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.

1 device in this family has a Class I recall. 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 FAJ device

  1. #1 K193095 Ambu aScope 4 Cystoscore 31.5 · 9 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin 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
*K042225Acmi Invisio Icn, Models Icn-0564 and Icn-0565
Summary page 1
…eric/Common Name: Endoscope, Video Camera and accessories Predicate Device ACMI® 1nvisioO ICN CystoNephroscope System K042225 Intended Uses The Gyrus ACMI® lnvisio® ICN Digital Flexible CystoNephiroscope Systemn (which includes the ICN scope and Cont…
Acmi Corporation2004—

Also cleared against K042225: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K912120Urf-P2 Ureterorenofiberscope/CholedochofiberscopeOlympus Corp. · 1991 · 4 generations back · ◆ in the 1991 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 16 years and passes through 5 companies; a new generation was cleared every 2.9 years on median.
  • 7 of the 17 ancestors have a recall of any class; 1 has a Class I recall.
  • 1 other device also cites its predicate K042225.

How does its category compare?

All FAJ devices

FAJ Cystoscope And Accessories, Flexible/Rigid: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

FDA decisions per year · FAJ

8in 2025

2007: 22009: 22010: 12012: 12014: 12016: 12017: 22018: 22019: 32020: 22021: 32022: 52023: 52024: 92025: 82026 (partial year): 5
2007high 9 (2024) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FAJ

98in 2025

2019: 207 days median2021: 127 days median2022: 170 days median2023: 207 days median2024: 130 days median2025: 98 days median2026 (partial year): 123 days median
2007high 207 (2019) · low 98 (2025)2026

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

Recalls per year · FAJ

7in 2023

2017: 12022: 12023: 7
2007high 7 (2023) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · FAJ

2,690in 2025

2007: 92008: 102009: 102010: 92011: 132012: 82013: 122014: 62015: 282016: 752017: 792018: 792019: 1022020: 3392021: 4942022: 7442023: 9202024: 8922025: 2,690
2007high 2,690 (2025) · low 6 (2014)2025

MAUDE reports naming product code FAJ, 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
20072—09
20080—010
20092—010
20101—09
20110—013
20121—08
20130—012
20141—06
20150—028
20161—075
20172—179
20182—079
201932070102
20202—0339
202131270494
202251701744
202352077920
202491300892
202589802,690
202651230—

What is it indicated for?

The Gyrus ACMI® Invisio® ICN (CystoNephroscope) System (which includes the ICN Endoscope and Controller) is intended for use to examine body cavities, hollow organs and canals in the body, in the urinary tract, and can be used percutaneously to examine the interior of the kidney; and, using additional accessories, can be used to perform various diagnostic and therapeutic procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K090814: Modification to Gyrus Acmi Invisio Icn, Models Icn-0564 and Icn-0565.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K090814

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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