510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

Single Use Repositionable Clip

K123601510(k) TraditionalCleared Apr 29, 2013159-day reviewClass II21 CFR 876.4400Recalls 4

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

Olympus Medical Systems Corp. · PKL Hemostatic Metal Clip For The Gi Tract

Cleared on Apr 29, 2013 as substantially equivalent to K013066 (Olympus America, Inc., 2001) after a 159-day review. Its family tree reaches back 3 generations to 1997. 3 later devices descend from it. It has been recalled 4 times.

Decided
Apr 29, 2013
Review
159 days
Class
Class II
Product code
PKL
Recalls
4
Predicates
1

Its longest line of descent runs back 3 generations to K963160 (1997). 3 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2019: 1 descendant cleared2020: 1 descendant cleared2022: 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 · recalled1995200020052010201520202025
  1. Root · 3 generations backK963160 HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc. · 1997
  2. 2 generations backK990687 HX-5/6-1 Endoscopic Clipping Device, Endoscopic ClipsOlympus Optical, Co. · 1999
  3. 1 generation backK013066 HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc. · 2001 · Recalled
  4. This deviceK123601 Single Use Repositionable ClipOlympus Medical Systems Corp. · 2013
  5. Descendant · cites it directly · 2 of its ownK183021 ClearEndoclipFinemedix Co., Ltd. · 2019
  6. Descendant · 2 generations on · 0 of its ownK213338 Core-ClipIncore Co., Ltd. · 2022
  7. Descendant · 2 generations on · 0 of its ownK200217 ClearEndoclipFinemedix Co., Ltd. · 2020

Most influential descendants

Showing 3 of 3 · See all
  • K183021ClearEndoclipFinemedix Co., Ltd. · 2019 · cites it directly2descendants
  • K213338Core-ClipIncore Co., Ltd. · 2022 · 2 generations on0descendants
  • K200217ClearEndoclipFinemedix Co., Ltd. · 2020 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K963160HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc.1997—
−2K990687HX-5/6-1 Endoscopic Clipping Device, Endoscopic ClipsOlympus Optical, Co.1999—
−1K013066HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc.20011
0 (this device)K123601Single Use Repositionable ClipOlympus Medical Systems Corp.2013—
+1K183021ClearEndoclipFinemedix Co., Ltd.2019—
+2K213338Core-ClipIncore Co., Ltd.2022—
+2K200217ClearEndoclipFinemedix Co., Ltd.2020—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
202010
202210
FIG. 1 — Lineage of K123601, 1997–2022Source: 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
*K013066HX-5/6-1 Endoscopic Clipping Device
Summary page 2
…oscopic Clipping Device HX-5LR-1, HX-6UR-1 Standard Clip HX-600-135 ®m Common Name: Endoscopic Clipping Device ™ 'Manufacturen , Olympus Optical Co., Ltd. ® 510() No. K013066 4 Device Description This instrument is intended to be used with Olympus endoscope for endoscopic clip placement within the gas…
Olympus America, Inc.20011

Also cleared against K013066: 1 other device →

What descends from it? (3)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K183021ClearEndoclipFinemedix Co., Ltd.20192

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

Recalls of this device

DateClassRecallRoot causeReason
May 4, 2023Class IIZ-1990-2023Under Investigation by firmComplaints on clip deployment occurring during clinical procedures, leading to hazardous situations where clips fail to achieve their expected function or deploy incorrectly, potentially causing harms to patients. The complaints include…
May 4, 2023Class IIZ-1987-2023Under Investigation by firmComplaints on clip deployment occurring during clinical procedures, leading to hazardous situations where clips fail to achieve their expected function or deploy incorrectly, potentially causing harms to patients. The complaints include…
May 4, 2023Class IIZ-1988-2023Under Investigation by firmComplaints on clip deployment occurring during clinical procedures, leading to hazardous situations where clips fail to achieve their expected function or deploy incorrectly, potentially causing harms to patients. The complaints include…
May 4, 2023Class IIZ-1989-2023Under Investigation by firmComplaints on clip deployment occurring during clinical procedures, leading to hazardous situations where clips fail to achieve their expected function or deploy incorrectly, potentially causing harms to patients. The complaints include…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 16 years and passes through 3 companies; a new generation was cleared every 2.7 years on median.
  • 1 of the 3 ancestors has a recall of any class.
  • Of its descendants, K183021 (Finemedix Co., Ltd., 2019) has gone furthest, with 2 descendants of its own.
  • 1 other device also cites its predicate K013066.

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. 2013, 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?

This instrument is intended to be used with Olympus endoscope for endoscopic clip placement within the gastrointestinal (Gl) tract. It is indicated to be used for

(1) endoscopic marking

(2) hemostasis for

(a) mucosal/sub-mucosal defects < 3 cm,

(b) bleeding ulcers,

(c) arteries <2 mm,

(d) polyps < 1.5 cm in diameter,

(e) diverticula in the colon,

(3) anchoring to affix jejunal feeding tubes to the wall of the small bowel,

(4) as a supplementary method, closure of Gl 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. “K123601: Single Use Repositionable Clip.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K123601

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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