510(k) Report

510(k) · Cleared

Cleared

AP 50/30 Insufflator with Insuflow Port

K170799510(k) TraditionalCleared Nov 14, 2017242-day reviewClass II21 CFR 884.1730

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

Lexion Medical, LLC · HIF Insufflator, Laparoscopic

Cleared on Nov 14, 2017 as substantially equivalent to K063367 (W.O.M. World of Medicine AG, 2007) and 2 other predicates after a 242-day review. Its family tree reaches back 9 generations to 1997. 1 later device descends from it.

Decided
Nov 14, 2017
Review
242 days
Class
Class II
Product code
HIF
Recalls
None
Predicates
3

Its longest line of descent runs back 9 generations to K964171 (1997). 40 ancestors in all, the oldest K903419 (1990). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2016: 1 other ancestor2012: 2 other ancestors2003: 5 other ancestors2001: 1 other ancestor1996: 2 other ancestors2009: 2 other ancestors2004: 1 other ancestor2008: 1 other ancestor2007: 3 other ancestors2006: 2 other ancestors2000: 1 other ancestor1999: 1 other ancestor1994: 1 other ancestor1991: 2 other ancestors1998: 1 other ancestor1990: 1 other ancestor1995: 2 other ancestors1993: 1 other ancestor1992: 1 other ancestor2019: 1 descendant clearedK964171 · Vasoview Balloon Dissection System · Origin Medsystems, Inc. · 1997K981700 · Vasoview Dissection/Vessel Harvesting System · Origin Medsystems, Inc. · 1998K030512 · Guidant Vasoview Endoscopic Vessel Harvesting System · Guidant Corp. · 2003 · recalledK060723 · 40 L High Flow Insufflator F113 · W.O.M. World of Medicine AG · 2006K063367 · 45L Core Insufflator, Model F114 · W.O.M. World of Medicine AG · 2007 · recalledK103692 · Sugiquest Airsealoptical Trocar & Cannula System with Integrated Insufflator Dpis 2000 · Surgiquest, Inc. · 2011K120640 · Insuflow Synergy Port · Lexion Medical, LLC · 2012K132204 · Insuflow Synergy XL Port · Lexion Medical, LLC · 2013K140263 · Insuflow Synergy Port, Insuflow Synergy XL Port · Lexion Medical, LLC · 20141990200020102020
  1. Root · 9 generations backK964171 Vasoview Balloon Dissection SystemOrigin Medsystems, Inc. · 1997
  2. 5 generations between
  3. 3 generations backK120640 Insuflow Synergy PortLexion Medical, LLC · 2012
  4. 2 generations backK132204 Insuflow Synergy XL PortLexion Medical, LLC · 2013
  5. 1 generation backK140263 Insuflow Synergy Port, Insuflow Synergy XL PortLexion Medical, LLC · 2014
  6. This deviceK170799 AP 50/30 Insufflator with Insuflow PortLexion Medical, LLC · 2017
  7. Descendant · cites it directly · 0 of its ownK191780 AP50/30 Insufflator with Insuflow PortLexion Medical, LLC · 2019
Show all 9 generations
  1. Root · 9 generations backK964171 Vasoview Balloon Dissection SystemOrigin Medsystems, Inc. · 1997
  2. 8 generations backK981700 Vasoview Dissection/Vessel Harvesting SystemOrigin Medsystems, Inc. · 1998
  3. 7 generations backK030512 Guidant Vasoview Endoscopic Vessel Harvesting SystemGuidant Corp. · 2003 · Recalled
  4. 6 generations backK060723 40 L High Flow Insufflator F113W.O.M. World of Medicine AG · 2006
  5. 5 generations backK063367 45L Core Insufflator, Model F114W.O.M. World of Medicine AG · 2007 · Recalled
  6. 4 generations backK103692 Sugiquest Airsealoptical Trocar & Cannula System with Integrated…Surgiquest, Inc. · 2011
  7. 3 generations backK120640 Insuflow Synergy PortLexion Medical, LLC · 2012
  8. 2 generations backK132204 Insuflow Synergy XL PortLexion Medical, LLC · 2013
  9. 1 generation backK140263 Insuflow Synergy Port, Insuflow Synergy XL PortLexion Medical, LLC · 2014
  10. This deviceK170799 AP 50/30 Insufflator with Insuflow PortLexion Medical, LLC · 2017

Most influential descendants

Showing 1 of 1 · See all
  • K191780AP50/30 Insufflator with Insuflow PortLexion Medical, LLC · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K964171Vasoview Balloon Dissection SystemOrigin Medsystems, Inc.1997—
−8K981700Vasoview Dissection/Vessel Harvesting SystemOrigin Medsystems, Inc.1998—
−7K030512Guidant Vasoview Endoscopic Vessel Harvesting SystemGuidant Corp.20031
−6K06072340 L High Flow Insufflator F113W.O.M. World of Medicine AG2006—
−5K06336745L Core Insufflator, Model F114W.O.M. World of Medicine AG20074
−4K103692Sugiquest Airsealoptical Trocar & Cannula System with Integrated Insufflator…Surgiquest, Inc.2011—
−3K120640Insuflow Synergy PortLexion Medical, LLC2012—
−2K132204Insuflow Synergy XL PortLexion Medical, LLC2013—
−1K140263Insuflow Synergy Port, Insuflow Synergy XL PortLexion Medical, LLC2014—
0 (this device)K170799AP 50/30 Insufflator with Insuflow PortLexion Medical, LLC2017—
+1K191780AP50/30 Insufflator with Insuflow PortLexion Medical, LLC2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199120
199210
199310
199410
199520
199620
199810
199910
200010
200110
200350
200410
200620
200730
200810
200920
201220
201610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
FIG. 1 — Lineage of K170799, 1997–2019Source: 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 HIF? 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 HIF device

  1. #1 K250388 Endoflator +score 15.8 · 10 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? (3)

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
*K06336745L Core Insufflator, Model F114
Summary page 4
…nsufflator with Insuflow® Port devices is substantially equivalent to the following devices: • Primary Predicate: Stryker/WOM 45L CORE Insufflator F114, K063367 • WOM Insufflator 50L FM134, K153513 • Lexion Insuflow® Synergy™ Port and Synergy™ XL Port, K14…
W.O.M. World of Medicine AG20074
*K153513Insufflator 50L FM134
Summary page 4
…y equivalent to the following devices: • Primary Predicate: Stryker/WOM 45L CORE Insufflator F114, K063367 • WOM Insufflator 50L FM134, K153513 • Lexion Insuflow® Synergy™ Port and Synergy™ XL Port, K140263 None of the cited predicate devices have been su…
W.O.M. World of Medicine GmbH2016—
*K140263Insuflow Synergy Port, Insuflow Synergy XL Port
Summary page 4
…yker/WOM 45L CORE Insufflator F114, K063367 • WOM Insufflator 50L FM134, K153513 • Lexion Insuflow® Synergy™ Port and Synergy™ XL Port, K140263 None of the cited predicate devices have been subject to a design-related recall. Description: The Lexion AP50/30 Insufflator i…
Lexion Medical, LLC2014—

Also cleared against K063367: 6 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K191780AP50/30 Insufflator with Insuflow PortLexion Medical, LLC20190

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 20 years and passes through 5 companies; a new generation was cleared every 1.3 years on median.
  • 5 of the 40 ancestors have a recall of any class.
  • Of its descendants, K191780 (Lexion Medical, LLC, 2019) has gone furthest, with 0 descendants of its own.
  • 6 other devices also cite its predicate K063367.

How does its category compare?

All HIF devices

HIF Insufflator, Laparoscopic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2017, this device’s year, is highlighted.

FDA decisions per year · HIF

3in 2025

2007: 42008: 22009: 42010: 22011: 52012: 52013: 22014: 22015: 22016: 32017: 52018: 32019: 22020: 42021: 12022: 12023: 72024: 42025: 32026 (partial year): 3
2007high 7 (2023) · low 1 (2021)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HIF

210in 2025

2007: 140 days median2009: 191 days median2011: 128 days median2012: 138 days median2016: 88 days median2017: 242 days median2018: 207 days median2020: 64 days median2023: 134 days median2024: 170 days median2025: 210 days median2026 (partial year): 265 days median
2007high 265 (2026) · low 64 (2020)2026

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

Recalls per year · HIF

12so far in 2026, the most since 2007

2008: 12016: 12018: 12023: 1, 1 Class I2026 (partial year): 12
2007high 12 (2026) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · HIF

1,507in 2025

2007: 82008: 142009: 212010: 412011: 442012: 382013: 402014: 432015: 302016: 722017: 682018: 972019: 1282020: 3602021: 6542022: 6672023: 8902024: 1,4832025: 1,507
2007high 1,507 (2025) · low 8 (2007)2025

MAUDE reports naming product code HIF, 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
2007414008
20082—114
20094191021
20102—041
20115128044
20125138038
20132—040
20142—043
20152—030
2016388172
20175242068
20183207197
20192—0128
20204640360
20211—0654
20221—0667
202371341 (1)890
2024417001,483
2025321001,507
2026326512—

What is it indicated for?

The AP50/30 Insufflator is a CO2 insufflator intended for use during diagnostic and/or therapeutic endoscopic procedures to distend a cavity by filling it with gas. The Standard/High Flow, Pediatric and Bariatric operating modes of the device are indicated to fill and distend a peritoneal cavity with gas during a laparoscopic procedure. The Pediatric operating mode is specifically indicated for pediatric laparoscopic procedures. The Vessel Harvesting…

Read the full statement (136 words)

The AP50/30 Insufflator is a CO2 insufflator intended for use during diagnostic and/or therapeutic endoscopic procedures to distend a cavity by filling it with gas. The Standard/High Flow, Pediatric and Bariatric operating modes of the device are indicated to fill and distend a peritoneal cavity with gas during a laparoscopic procedure. The Pediatric operating mode is specifically indicated for pediatric laparoscopic procedures. The Vessel Harvesting operating mode is indicated for use during endoscopic vessel harvesting procedures to create a cavity along the saphenous vein or radial artery.

The Insuflow® Port (5 mm, 8 mm, 10mm and 12mm) devices have applications in thoracic, abdominal and gynecologic minimally invasive endoscopic surgical procedures to establish a path of entry for endoscopic instruments and to heat, humidify, filter and introduce a CO2 gas stream for insufflation of the surgical cavity.

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. “K170799: AP 50/30 Insufflator with Insuflow Port.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K170799

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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