510(k) Report

510(k) · Cleared

Recalled · Class II · 2021

Captivator II,Single-Use Polypectomy Snares

K133987510(k) SpecialCleared Jan 24, 201429-day reviewClass II21 CFR 876.4300Recalls 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 · FDI Snare, Flexible

Cleared on Jan 24, 2014 as substantially equivalent to K131700 (Boston Scientific Corp, 2013) and 1 other predicate after a 29-day review. Its family tree reaches back 3 generations to 1995. 10 later devices descend from it. It has been recalled once.

Decided
Jan 24, 2014
Review
29 days
Class
Class II
Product code
FDI
Recalls
1
Predicates
2

Its longest line of descent runs back 3 generations to K950496 (1995). 5 ancestors in all, the oldest K941750 (1994). 10 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 1 other ancestor1994: 1 other ancestor2018: 2 descendants cleared2017: 1 descendant cleared2020: 1 descendant cleared2023: 1 descendant cleared2022: 3 descendants cleared2019: 2 descendants clearedK950496 · Snare, Flexible, Electrosurgical Cutting & Coagulation Device & Accessories · Boston Scientific Corp · 1995K992477 · Rotosnare · Inscope, LLC · 1999K131700 · Sensation Short Throw, Captiflex, Captivator, Captivator II, Profile, Single-Use Polypectomy Snares · Boston Scientific Corp · 2013 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 6 descendants3 generations forward: 2 descendants K131700 · Sensation Short Throw, Captiflex, Captivator, Captivator II, Profile, Single-Use Polypectomy Snares · Boston Scientific Corp · 2013 · recalledK992477 · Rotosnare · Inscope, LLC · 1999K950496 · Snare, Flexible, Electrosurgical Cutting & Coagulation Device & Accessories · Boston Scientific Corp · 19950
  1. Root · 3 generations backK950496 Snare, Flexible, Electrosurgical Cutting & Coagulation Device &…Boston Scientific Corp · 1995
  2. 2 generations backK992477 RotosnareInscope, LLC · 1999
  3. 1 generation backK131700 Sensation Short Throw, Captiflex, Captivator, Captivator II…Boston Scientific Corp · 2013 · Recalled
  4. This deviceK133987 Captivator II,Single-Use Polypectomy SnaresBoston Scientific Corporation · 2014
  5. Descendant · cites it directly · 5 of its ownK172729 Polypectomy SnareHangzhou AGS MedTech Co., Ltd. · 2018
  6. Descendant · cites it directly · 3 of its ownK172734 Single Use Electrosurgical Snare SD-400Olympus Medical Systems Corp. · 2017 · Recalled
  7. Descendant · 2 generations on · 1 of its ownK183289 ClearGrasp SnareFinemedix Co., Ltd. · 2019
  8. Descendant · 2 generations on · 1 of its ownK173673 AcuSnare Polypectomy SnareWilson-Cook Medical, Inc. · 2018
  9. Descendant · 2 generations on · 0 of its ownK221713 Polypectomy SnareHangzhou AGS MedTech Co., Ltd. · 2023

Showing 5 of 10 descendants. See all descendants

Descendants cleared per year

2017: 12018: 22019: 22020: 12022: 32023: 1
2017high 3 (2022) · low 0 (2021)2026

Most influential descendants

Showing 5 of 10 · See all
  • K172729Polypectomy SnareHangzhou AGS MedTech Co., Ltd. · 2018 · cites it directly5descendants
  • K172734Single Use Electrosurgical Snare SD-400Olympus Medical Systems Corp. · 2017 · cites it directly3descendants
  • K183289ClearGrasp SnareFinemedix Co., Ltd. · 2019 · 2 generations on1descendant
  • K173673AcuSnare Polypectomy SnareWilson-Cook Medical, Inc. · 2018 · 2 generations on1descendant
  • K221713Polypectomy SnareHangzhou AGS MedTech Co., Ltd. · 2023 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K950496Snare, Flexible, Electrosurgical Cutting & Coagulation Device & AccessoriesBoston Scientific Corp1995—
−2K992477RotosnareInscope, LLC1999—
−1K131700Sensation Short Throw, Captiflex, Captivator, Captivator II, Profile…Boston Scientific Corp20138
0 (this device)K133987Captivator II,Single-Use Polypectomy SnaresBoston Scientific Corporation2014—
+1K172729Polypectomy SnareHangzhou AGS MedTech Co., Ltd.2018—
+1K172734Single Use Electrosurgical Snare SD-400Olympus Medical Systems Corp.201741
+2K183289ClearGrasp SnareFinemedix Co., Ltd.2019—
+2K173673AcuSnare Polypectomy SnareWilson-Cook Medical, Inc.2018—
+2K221713Polypectomy SnareHangzhou AGS MedTech Co., Ltd.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
201820
201920
202010
202230
202310
FIG. 1 — Lineage of K133987, 1995–2023Source: 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 FDI? 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 FDI device

  1. #1 K251692 Advanced Tissue Resection Devicescore 10.9 · 1 generation · 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? (2)

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
*K131700Sensation Short Throw, Captiflex, Captivator, Captivator II, Profile, Single-Use…
Summary page 1
…Captivator 11, Single-Use Polypectomy Snares Profle, Single-Use Polypectomy Snares Manufacturer and Clearance Number: Boston Scientific Corporation, K 13 1700 Classification Name: 1) Snare, Flexible, 2) Snare,,Non-Eleetrical Regulation Number: 1)876.4300, 2) 876.4730 Product Cod…
Boston Scientific Corp20138
*K955650Olympus SD Series Snares
Summary page 1
…tion Number: 1)876.4300, 2) 876.4730 Product Code: 1) EDI, 2) FOX Classification: Class 11 Trade Name: SnareMaster Manufacturer and Clearance Number: Olympus, K955650 Classification Name: 1) Snare, Flexible, 2) Electrode, electrosurgical. active, urological Regulation Number: 876.4300 Prod…
Olympus America, Inc.19965

Also cleared against K131700: 2 other devices →

What descends from it? (10)

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

NumberDeviceApplicantDecidedDescendants
K172729Polypectomy SnareHangzhou AGS MedTech Co., Ltd.20185
K172734Single Use Electrosurgical Snare SD-400Olympus Medical Systems Corp.20173

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

Recalls of this device

DateClassRecallRoot causeReason
Jan 19, 2021Class IIZ-1169-2021Process change controlPackaging Incomplete Seal. Users noted an incomplete pouch seal prior to using the device in a patient.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 19 years and passes through 3 companies; a new generation was cleared every 4.4 years on median.
  • 3 of the 5 ancestors have a recall of any class.
  • Of its descendants, K172729 (Hangzhou AGS MedTech Co., Ltd., 2018) has gone furthest, with 5 descendants of its own.
  • 2 other devices also cite its predicate K131700.

How does its category compare?

All FDI devices

FDI Snare, Flexible: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, this device’s year, is highlighted.

FDA decisions per year · FDI

1in 2023

2008: 22009: 12011: 12012: 12013: 32014: 52015: 32016: 12017: 12018: 42019: 32020: 22021: 12022: 42023: 12026 (partial year): 1
2007high 5 (2014) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FDI

247in 2022

2013: 87 days median2014: 47 days median2015: 62 days median2018: 214 days median2019: 100 days median2022: 247 days median
2007high 247 (2022) · low 47 (2014)2026

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

Recalls per year · FDI

2in 2025

2010: 12015: 12025: 2
2007high 2 (2025) · low 0 (2007)2026

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

Adverse event reports per year · FDI

274in 2025

2007: 482008: 2012009: 2652010: 1742011: 1772012: 1622013: 1912014: 3452015: 1952016: 2232017: 1542018: 1812019: 1352020: 4872021: 2112022: 2462023: 2092024: 2792025: 274
2007high 487 (2020) · low 48 (2007)2025

MAUDE reports naming product code FDI, 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—048
20082—0201
20091—0265
20100—1174
20111—0177
20121—0162
20133870191
20145470345
20153621195
20161—0223
20171—0154
201842140181
201931000135
20202—0487
20211—0211
202242470246
20231—0209
20240—0279
20250—2274
20261—0—

What is it indicated for?

The Polypectomy Snares are used endoscopically in the removal and /or cauterization of diminutive polyps, sessile polyps, pedunculated polyps and tissue from within the GI tract.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K133987: Captivator II,Single-Use Polypectomy Snares.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K133987

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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