510(k) Report

510(k) · Cleared

Cleared

Gyrus Acmi Invisio Digital Hysteroscope, Model Idh-4

K092278510(k) TraditionalCleared Sep 29, 200963-day reviewClass II21 CFR 884.1690

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

Gyrus Acmi, Inc. · HIH Hysteroscope (And Accessories)

Cleared on Sep 29, 2009 as substantially equivalent to K060269 (Acmi Corporation, 2006) and 3 other predicates after a 63-day review. Its family tree reaches back 8 generations to 1993. 1 of the 52 devices in its family, counting itself, has a Class I recall. 22 later devices descend from it.

Decided
Sep 29, 2009
Review
63 days
Class
Class II
Product code
HIH
Recalls
None
Predicates
4

Its longest line of descent runs back 8 generations to K931154 (1993). 29 ancestors in all, the oldest K791182 (1979). 22 later devices descend from it, 3 citing it directly. 1 of the 52 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2003: 2 other ancestors1999: 1 other ancestor2005: 1 other ancestor2001: 4 other ancestors1989: 1 other ancestor1979: 1 other ancestor1997: 2 other ancestors1995: 2 other ancestors1991: 2 other ancestors, 1 with a Class I recall12000: 1 other ancestor1993: 1 other ancestor1992: 1 other ancestor1985: 2 other ancestors2018: 1 descendant cleared2010: 1 descendant cleared2013: 1 descendant cleared2017: 1 descendant cleared2014: 1 descendant cleared2020: 2 descendants cleared2019: 5 descendants cleared2021: 2 descendants cleared2015: 1 descendant cleared2016: 1 descendant cleared2024: 3 descendants cleared2025: 1 descendant cleared2026: 2 descendants clearedK931154 · Evis 200 System · Olympus Corp. · 1993K963033 · BF 240/P240/IT240 Bronchovideoscope & Accessories · Olympus America, Inc. · 1996 · recalledK981543 · Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories and Ancillary Equipment · The Olympus Optical Co. · 1998 · recalledK021074 · Visera Cystovideoscope Olympus Cyf Type V/VA · Olympus America, Inc. · 2002K030960 · Ecn Electronic Video Cystonephroscope · Acmi Corporation · 2003K042225 · Acmi Invisio Icn, Models Icn-0564 and Icn-0565 · Acmi Corporation · 2004K060269 · Acmi Dur-Digital Ureteroscope and Choledochoscope System · Acmi Corporation · 2006K072594 · Gyrus Acmi Ipn-2505, Invisio Smith Percutaneous Nephroscope System · Gyrus Acmi, Inc. · 200719801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 5 other ancestors3 generations back: 4 other ancestors4 generations back: 3 other ancestors5 generations back: 2 other ancestors, 1 with a Class I recall16 generations back: 5 other ancestors 1 generation forward: 3 descendants2 generations forward: 4 descendants3 generations forward: 5 descendants4 generations forward: 4 descendants5 generations forward: 4 descendants6 generations forward: 2 descendants K072594 · Gyrus Acmi Ipn-2505, Invisio Smith Percutaneous Nephroscope System · Gyrus Acmi, Inc. · 2007K060269 · Acmi Dur-Digital Ureteroscope and Choledochoscope System · Acmi Corporation · 2006K042225 · Acmi Invisio Icn, Models Icn-0564 and Icn-0565 · Acmi Corporation · 2004K030960 · Ecn Electronic Video Cystonephroscope · Acmi Corporation · 2003K021074 · Visera Cystovideoscope Olympus Cyf Type V/VA · Olympus America, Inc. · 2002K981543 · Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories and Ancillary Equipment · The Olympus Optical Co. · 1998 · recalledK963033 · BF 240/P240/IT240 Bronchovideoscope & Accessories · Olympus America, Inc. · 1996 · recalledK931154 · Evis 200 System · Olympus Corp. · 1993−50+5
  1. Root · 8 generations backK931154 Evis 200 SystemOlympus Corp. · 1993
  2. 7 generations backK963033 BF 240/P240/IT240 Bronchovideoscope & AccessoriesOlympus America, Inc. · 1996 · Recalled
  3. 6 generations backK981543 Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories…The Olympus Optical Co. · 1998 · Recalled
  4. 5 generations backK021074 Visera Cystovideoscope Olympus Cyf Type V/VAOlympus America, Inc. · 2002
  5. 4 generations backK030960 Ecn Electronic Video CystonephroscopeAcmi Corporation · 2003
  6. 3 generations backK042225 Acmi Invisio Icn, Models Icn-0564 and Icn-0565Acmi Corporation · 2004
  7. 2 generations backK060269 Acmi Dur-Digital Ureteroscope and Choledochoscope SystemAcmi Corporation · 2006
  8. 1 generation backK072594 Gyrus Acmi Ipn-2505, Invisio Smith Percutaneous Nephroscope SystemGyrus Acmi, Inc. · 2007
  9. This deviceK092278 Gyrus Acmi Invisio Digital Hysteroscope, Model Idh-4Gyrus Acmi, Inc. · 2009
  10. Descendant · cites it directly · 20 of its ownK123151 Endosee Model 8000 U-ScopeEndosee Corp · 2013
  11. Descendant · 2 generations on · 19 of its ownK132384 U-Scope 8000 System with HSC+Emb CannulaEndosec Corporation · 2014
  12. Descendant · 2 generations on · 5 of its ownK170660 Endosee Hysteroscope with Disposable Diagnostic (Dx) CannulaCooperSurgical, Inc. · 2017
  13. Descendant · 3 generations on · 4 of its ownK202445 Hystero-V HysteroscopeHysterovue, Inc. · 2021
  14. Descendant · 3 generations on · 4 of its ownK183020 Endosee SystemCooperSurgical, Inc. · 2019 · Recalled

Showing 5 of 22 descendants. See all descendants

Descendants cleared per year

2010: 12013: 12014: 12015: 12016: 12017: 12018: 12019: 52020: 22021: 22024: 32025: 12026: 2
2010high 5 (2019) · low 0 (2011)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 22 · See all
  • K123151Endosee Model 8000 U-ScopeEndosee Corp · 2013 · cites it directly20descendants
  • K132384U-Scope 8000 System with HSC+Emb CannulaEndosec Corporation · 2014 · 2 generations on19descendants
  • K170660Endosee Hysteroscope with Disposable Diagnostic (Dx) CannulaCooperSurgical, Inc. · 2017 · 2 generations on5descendants
  • K202445Hystero-V HysteroscopeHysterovue, Inc. · 2021 · 3 generations on4descendants
  • K183020Endosee SystemCooperSurgical, Inc. · 2019 · 3 generations on4descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K931154Evis 200 SystemOlympus Corp.1993—
−7K963033BF 240/P240/IT240 Bronchovideoscope & AccessoriesOlympus America, Inc.19966
−6K981543Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories and…The Olympus Optical Co.19985
−5K021074Visera Cystovideoscope Olympus Cyf Type V/VAOlympus America, Inc.2002—
−4K030960Ecn Electronic Video CystonephroscopeAcmi Corporation2003—
−3K042225Acmi Invisio Icn, Models Icn-0564 and Icn-0565Acmi Corporation2004—
−2K060269Acmi Dur-Digital Ureteroscope and Choledochoscope SystemAcmi Corporation2006—
−1K072594Gyrus Acmi Ipn-2505, Invisio Smith Percutaneous Nephroscope SystemGyrus Acmi, Inc.2007—
0 (this device)K092278Gyrus Acmi Invisio Digital Hysteroscope, Model Idh-4Gyrus Acmi, Inc.2009—
+1K123151Endosee Model 8000 U-ScopeEndosee Corp2013—
+2K132384U-Scope 8000 System with HSC+Emb CannulaEndosec Corporation2014—
+2K170660Endosee Hysteroscope with Disposable Diagnostic (Dx) CannulaCooperSurgical, Inc.2017—
+3K202445Hystero-V HysteroscopeHysterovue, Inc.2021—
+3K183020Endosee SystemCooperSurgical, Inc.20191

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198520
198910
199121
199210
199310
199520
199720
199910
200010
200140
200320
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201010
201310
201410
201510
201610
201710
201810
201950
202020
202120
202430
202510
202620
FIG. 1 — Lineage of K092278, 1993–2026Source: 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.

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 HIH device

  1. #1 K232003 Endoscopic Video Image Processor, Single-Use…score 16.1 · 12 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? (4)

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
*K060269Acmi Dur-Digital Ureteroscope and Choledochoscope System
Summary page 2
…eatures included in the predicate Gyrus ACMI Invisio Digital, IPN-2505 Percutaneous Nephroscope K072594, and the ACMI DUR®-Digital Ureteroscope & Choledochoscope, DUR®-D K060269. The proposed device incorporates the same CMOS video imaging technology located in the endoscope as the aforementioned Invisio p…
Acmi Corporation2006—
*K072594Gyrus Acmi Ipn-2505, Invisio Smith Percutaneous Nephroscope System
Summary page 2
…uivalence The Gyrus ACMI® Invisio® Digital Hysteroscope System, utilizes features included in the predicate Gyrus ACMI Invisio Digital, IPN-2505 Percutaneous Nephroscope K072594, and the ACMI DUR®-Digital Ureteroscope & Choledochoscope, DUR®-D K060269. The proposed device incorporates the same CMOS video i…
Gyrus Acmi, Inc.2007—
*K990411MVM 7.5 French Flexible Hysteroscope
Summary page 2
…t contacting materials used in the distal tip, working channel and deflection cover. Like other predicate hysteroscopes: the Karl Storz MVM 7.5 Fr Flexible Hysteroscope (K99041 1); and the Olympus Visera HFY-V Hysterovideoscope (K022445); the proposed hysteroscope has similar shaft diameter and working leng…
Karl Storz Endoscopy1999—
*K022445Visera Hysterovideoscope Olympus Hyf Type V
Summary page 2
…nel and deflection cover. Like other predicate hysteroscopes: the Karl Storz MVM 7.5 Fr Flexible Hysteroscope (K99041 1); and the Olympus Visera HFY-V Hysterovideoscope (K022445); the proposed hysteroscope has similar shaft diameter and working length and is intended for viewing of the cervical canal and-u…
Olympus Optical Co., Ltd.20031

Also cleared against K060269: 6 other devices →

What descends from it? (22)

See all 22

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

NumberDeviceApplicantDecidedDescendants
K123151Endosee Model 8000 U-ScopeEndosee Corp201320
K171113LiNA OperaScope with HDMI cable and on-board LCD-single unit, LiNA OperaScope with HDMI…Lina Medical Aps20184
K093218Femeye TwoFem Suite, LLC20100

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 · 5 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 1.7 years on median.
  • 9 of the 29 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K123151 (Endosee Corp, 2013) has gone furthest, with 20 descendants of its own.
  • 6 other devices also cite its predicate K060269.

How does its category compare?

All HIH devices

HIH Hysteroscope (And Accessories): FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

FDA decisions per year · HIH

3in 2025

2007: 12008: 22009: 42010: 42011: 32012: 42013: 52014: 22015: 52016: 32017: 22018: 82019: 142020: 72021: 42022: 22023: 42024: 62025: 32026 (partial year): 7
2007high 14 (2019) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HIH

111in 2025

2009: 130 days median2010: 109 days median2011: 118 days median2012: 25 days median2013: 144 days median2015: 52 days median2016: 106 days median2018: 135 days median2019: 91 days median2020: 88 days median2021: 194 days median2023: 200 days median2024: 148 days median2025: 111 days median2026 (partial year): 168 days median
2007high 200 (2023) · low 25 (2012)2026

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

Recalls per year · HIH

3so far in 2026, the most since 2007

2019: 12023: 22026 (partial year): 3
2007high 3 (2026) · low 0 (2007)2026

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

Adverse event reports per year · HIH

1,698in 2025

2007: 72008: 122009: 172010: 312011: 592012: 782013: 1112014: 1252015: 2112016: 1722017: 3362018: 1822019: 2202020: 2532021: 1932022: 2892023: 1,4492024: 1,6112025: 1,698
2007high 1,698 (2025) · low 7 (2007)2025

MAUDE reports naming product code HIH, 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—07
20082—012
20094130017
20104109031
20113118059
2012425078
201351440111
20142—0125
20155520211
201631060172
20172—0336
201881350182
201914911220
20207880253
202141940193
20222—0289
2023420021,449
2024614801,611
2025311101,698
202671683—

What is it indicated for?

The Gyrus ACMI Invisio Digital Hysteroscope is intended to be used to permit viewing of the cervical canal and uterine cavity for the purpose of performing diagnostic and surgical procedures. The Gyrus ACMI Invisio Digital Hysteroscope System includes the Invisio Digital Hysteroscope and IDC Invisio TM Controller. The IDC Controller is intended to be used to process the video signal from the Invisio Digital Hysteroscope and ensure brightness, image…

Read the full statement (107 words)

The Gyrus ACMI Invisio Digital Hysteroscope is intended to be used to permit viewing of the cervical canal and uterine cavity for the purpose of performing diagnostic and surgical procedures.

The Gyrus ACMI Invisio Digital Hysteroscope System includes the Invisio Digital Hysteroscope and IDC Invisio TM Controller. The IDC Controller is intended to be used to process the video signal from the Invisio Digital Hysteroscope and ensure brightness, image clarity and color.

Diagnostic Hysteroscopy:

Abnormal uterine bleeding

Infertility & pregnancy wastage

Evaluation of abnormal hysterosalpingogram

Intrauterine foreign body

Amenorrhea

Pelvic pain

Operative Hysteroscopy:

Directed biopsy

Removal of fibroids and polyps

Transection of intrauterine adhesions

Transection intrauterine septa

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K092278: Gyrus Acmi Invisio Digital Hysteroscope, Model Idh-4.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K092278

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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