510(k) Report

510(k) · Cleared

Recalled · 2011

Resolution II Clip

K102764510(k) TraditionalCleared Dec 22, 201089-day reviewClass II21 CFR 876.4400Recalls 1

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

Boston Scientific Corporation · PKL Hemostatic Metal Clip For The Gi Tract

Cleared on Dec 22, 2010 as substantially equivalent to K040148 (Boston Scientific Corp, 2004) after an 89-day review. Its family tree reaches back 4 generations to 1997. It has been recalled once.

Decided
Dec 22, 2010
Review
89 days
Class
Class II
Product code
PKL
Recalls
1
Predicates
1

Its longest line of descent runs back 4 generations to K963160 (1997). No later device cites it as a predicate yet.

  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 deviceK102764 Resolution II ClipBoston Scientific Corporation · 2010
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)K102764Resolution II ClipBoston Scientific Corporation2010—
FIG. 1 — Lineage of K102764, 1997–2010Source: 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
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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
*K040148Resolution Hemostasis Clipping Device
Summary page 1
…lation Numbcer: 876.4400 Product Cade: FHN and MND Classification: Class il 3. Predicate Devices Boston Scientific Corporation, Resolution Hemostasis Clipping Device (K040148) 4. Device Description The Resolution Il Clip consists of a pre-loaded, radiopaque,. single-use clip on a {lexible delivery syst…
Boston Scientific Corp20042

Also cleared against K040148: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jul 19, 2011Not classifiedZ-3056-2011OtherBoston Scientific has received reports where, following clip deployment, the alignment of the clip and delivery system does not allow for the withdrawal of the delivery system away from the clip, resulting in tissue trauma, increased…

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 4 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K040148.

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 Resolution 11 Clip is indicated for clip placement within the Gastrointestinal Tract for the purpose of:

1. Endoscopic Marking

2. Hemostasis for:

Mucosal/sub-mucosal defects <3 cm

Bleeding ulcers

Arteries <2 mm

Polyps < 1.5 cm in diameter

Diverticula in the colon

Anchoring to affix jejunal feeding tubes to the wall of the small bowel

As a supplementary method for closure of GI tract luminal perforations <20mm 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. “K102764: Resolution II Clip.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K102764

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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