510(k) Report

510(k) · Cleared

Cleared

Otsc (Over-the Scope-Clip) System Set

K101428510(k) TraditionalCleared Dec 1, 2010194-day reviewClass II21 CFR 876.4400

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

Ovesco Endoscopy AG · PKL Hemostatic Metal Clip For The Gi Tract

Cleared on Dec 1, 2010 as substantially equivalent to K020824 (Boston Scientific Corp, 2002) and 2 other predicates after a 194-day review. Its family tree reaches back 4 generations to 1997. 6 later devices descend from it.

Decided
Dec 1, 2010
Review
194 days
Class
Class II
Product code
PKL
Recalls
None
Predicates
4

Its longest line of descent runs back 4 generations to K963160 (1997). 6 ancestors in all. 6 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2005: 1 other ancestor2002: 1 other ancestor2012: 1 descendant cleared2022: 1 descendant cleared2024: 1 descendant cleared2018: 1 descendant cleared2025: 1 descendant cleared2019: 1 descendant clearedK963160 · HX-5/6-1 Endoscopic Clipping Device · Olympus America, Inc. · 1997K990687 · HX-5/6-1 Endoscopic Clipping Device, Endoscopic Clips · Olympus Optical, Co. · 1999K013066 · HX-5/6-1 Endoscopic Clipping Device · Olympus America, Inc. · 2001 · recalledK040148 · Resolution Hemostasis Clipping Device · Boston Scientific Corp · 2004 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors 1 generation forward: 3 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant K040148 · Resolution Hemostasis Clipping Device · Boston Scientific Corp · 2004 · recalledK013066 · HX-5/6-1 Endoscopic Clipping Device · Olympus America, Inc. · 2001 · recalledK990687 · HX-5/6-1 Endoscopic Clipping Device, Endoscopic Clips · Olympus Optical, Co. · 1999K963160 · HX-5/6-1 Endoscopic Clipping Device · Olympus America, Inc. · 19970
  1. Root · 4 generations backK963160 HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc. · 1997
  2. 3 generations backK990687 HX-5/6-1 Endoscopic Clipping Device, Endoscopic ClipsOlympus Optical, Co. · 1999
  3. 2 generations backK013066 HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc. · 2001 · Recalled
  4. 1 generation backK040148 Resolution Hemostasis Clipping DeviceBoston Scientific Corp · 2004 · Recalled
  5. This deviceK101428 Otsc (Over-the Scope-Clip) System SetOvesco Endoscopy AG · 2010
  6. Descendant · cites it directly · 2 of its ownK120814 Padlock Clip-12Aponos Medical Corp. · 2012 · Recalled
  7. Descendant · cites it directly · 1 of its ownK241858 BARS Set (100.60)Ovesco Endoscopy AG · 2024
  8. Descendant · 2 generations on · 1 of its ownK180689 Padlock Clip defect closure device; Padlock Clip Pro-Select defect…STERIS Corporation · 2018
  9. Descendant · 2 generations on · 0 of its ownK251562 OTSCneo System Set (100.03n-14n, 100.27n-31n)Ovesco Endoscopy AG · 2025
  10. Descendant · cites it directly · 0 of its ownK220157 Disposable Hemostatic Closure Clip DeviceMicro-Tech (Nanjing) Co., Ltd. · 2022

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2012: 12018: 12019: 12022: 12024: 12025: 1
2012high 1 (2012) · low 0 (2013)2026

Most influential descendants

Showing 5 of 6 · See all
  • K120814Padlock Clip-12Aponos Medical Corp. · 2012 · cites it directly2descendants
  • K241858BARS Set (100.60)Ovesco Endoscopy AG · 2024 · cites it directly1descendant
  • K180689Padlock Clip defect closure device; Padlock Clip Pro-Select defect closure deviceSTERIS Corporation · 2018 · 2 generations on1descendant
  • K251562OTSCneo System Set (100.03n-14n, 100.27n-31n)Ovesco Endoscopy AG · 2025 · 2 generations on0descendants
  • K220157Disposable Hemostatic Closure Clip DeviceMicro-Tech (Nanjing) Co., Ltd. · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K963160HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc.1997—
−3K990687HX-5/6-1 Endoscopic Clipping Device, Endoscopic ClipsOlympus Optical, Co.1999—
−2K013066HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc.20011
−1K040148Resolution Hemostasis Clipping DeviceBoston Scientific Corp20042
0 (this device)K101428Otsc (Over-the Scope-Clip) System SetOvesco Endoscopy AG2010—
+1K120814Padlock Clip-12Aponos Medical Corp.20121
+1K241858BARS Set (100.60)Ovesco Endoscopy AG2024—
+2K180689Padlock Clip defect closure device; Padlock Clip Pro-Select defect closure…STERIS Corporation2018—
+2K251562OTSCneo System Set (100.03n-14n, 100.27n-31n)Ovesco Endoscopy AG2025—
+1K220157Disposable Hemostatic Closure Clip DeviceMicro-Tech (Nanjing) Co., Ltd.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200210
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201810
201910
202210
202410
202510
FIG. 1 — Lineage of K101428, 1997–2025Source: 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 PKL? 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 PKL device

  1. #1 K202333 Lockado Repositionable Hemostasis Clipscore 17.5 · 7 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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
Kept off the family treeK986669Speedband Multiple Ligator
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree
*K020824Speedband Superview Super 7, Injection Speedband Superview Super 7, Models 4205 and 4238
Summary page 1
…Ligator, Hemorrhoidal Classification Name Ligator, Hemorrhoidal 876.4400; 876.1500, 876.5130 C. Predicate Devices: Trade Name Speedband Multiple Ligator (K98{669 and K020824) Trade Name Resolution Hemostasis Clipping Device (K040148) Trade Name InScope Multi-Clip Applier (K051950) K42…
Boston Scientific Corp2002—
*K040148Resolution Hemostasis Clipping Device
Summary page 1
…oidal 876.4400; 876.1500, 876.5130 C. Predicate Devices: Trade Name Speedband Multiple Ligator (K98{669 and K020824) Trade Name Resolution Hemostasis Clipping Device (K040148) Trade Name InScope Multi-Clip Applier (K051950) K428 . Lge 27 OTSC Over-The-Scope-Clipping System Set includin…
Boston Scientific Corp20042
*K051950Inscope Multi-Clip Applier, Models IN22321, IN23321
Summary page 1
…Devices: Trade Name Speedband Multiple Ligator (K98{669 and K020824) Trade Name Resolution Hemostasis Clipping Device (K040148) Trade Name InScope Multi-Clip Applier (K051950) K428 . Lge 27 OTSC Over-The-Scope-Clipping System Set including the OTSC"™ Reloader Traditional Premarket Nolif…
Ethicon Endo-Surgery, Inc.2005—

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K120814Padlock Clip-12Aponos Medical Corp.20122
K241858BARS Set (100.60)Ovesco Endoscopy AG20241
K220157Disposable Hemostatic Closure Clip DeviceMicro-Tech (Nanjing) Co., Ltd.20220

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 13 years and passes through 4 companies; a new generation was cleared every 2.7 years on median.
  • 2 of the 6 ancestors have a recall of any class.
  • Of its descendants, K120814 (Aponos Medical Corp., 2012) has gone furthest, with 2 descendants of its own.

How does its category compare?

All PKL devices

PKL Hemostatic Metal Clip For The Gi Tract: FDA decisions, review times, recalls and adverse event reports over 20 years. 2010, this device’s year, is highlighted.

FDA decisions per year · PKL

6in 2025

2010: 22012: 32013: 22014: 12015: 32016: 12017: 22018: 52019: 42020: 62021: 22022: 92023: 22024: 82025: 62026 (partial year): 7
2007high 9 (2022) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PKL

162in 2025

2012: 102 days median2015: 143 days median2018: 116 days median2019: 231 days median2020: 164 days median2022: 259 days median2024: 181 days median2025: 162 days median2026 (partial year): 231 days median
2007high 259 (2022) · low 102 (2012)2026

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

Recalls per year · PKL

1in 2019

2019: 1
2007high 1 (2019) · low 0 (2007)2026

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

Adverse event reports per year · PKL

1,170in 2025

2012: 12014: 42015: 342016: 1282017: 3982018: 3932019: 6992020: 5042021: 6682022: 5222023: 8632024: 1,2162025: 1,170
2007high 1,216 (2024) · low 0 (2007)2025

MAUDE reports naming product code PKL, 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
20070—00
20080—00
20090—00
20102—00
20110—00
2012310201
20132—00
20141—04
20153143034
20161—0128
20172—0398
201851160393
201942311699
202061640504
20212—0668
202292590522
20232—0863
2024818101,216
2025616201,170
202672310—

What is it indicated for?

The OTSC system set is indicated for use in flexible endoscopy and for the compression of tissue in the gastrointestinal tract, for haemostasis or for treating lesions of the wall of gastrointestinal organs. Marking of lesions.

The OTSC clip is indicated for clip placement within the gastrointestinal (GI) tract for the purpose of:

- Endoscopic marking

- Hemostasis for:

- Mucosal/submucosal defects < 3 cm

- Bleeding ulcers

- Arteries < 2 mm

- Polyps < 1.5 cm in diameter

- Diverticula in the colon

- Closure of GI tract luminal perforations < 20 mm that can be treated conservatively

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K101428: Otsc (Over-the Scope-Clip) System Set.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K101428

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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