510(k) Report

510(k) · Cleared

Cleared

Medical Video Endoscope System

K171076510(k) TraditionalCleared May 5, 201724-day reviewClass II21 CFR 876.1500

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

Zhuhai Pusen Medical Technology Co., Ltd. · FGB Ureteroscope And Accessories, Flexible/Rigid

Cleared on May 5, 2017 as substantially equivalent to K131369 (KARL STORZ Endoscopy-America, Inc., 2013) after a 24-day review. Its family tree reaches back 8 generations to 1993. 1 of the 29 devices in its family, counting itself, has a Class I recall. 4 later devices descend from it.

Decided
May 5, 2017
Review
24 days
Class
Class II
Product code
FGB
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K931154 (1993). 24 ancestors in all, the oldest K843084 (1985). 4 later devices descend from it, 1 citing it directly. 1 of the 29 devices in this family, counting this one, has a Class I recall.

  1. Root · 8 generations backK931154 Evis 200 SystemOlympus Corp. · 1993
  2. 7 generations backK963033 BF 240/P240/IT240 Bronchovideoscope & AccessoriesOlympus America, Inc. · 1996 · Recalled
  3. 6 generations backK981543 Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories…The Olympus Optical Co. · 1998 · Recalled
  4. 5 generations backK021074 Visera Cystovideoscope Olympus Cyf Type V/VAOlympus America, Inc. · 2002
  5. 4 generations backK030960 Ecn Electronic Video CystonephroscopeAcmi Corporation · 2003
  6. 3 generations backK042225 Acmi Invisio Icn, Models Icn-0564 and Icn-0565Acmi Corporation · 2004
  7. 2 generations backK060269 Acmi Dur-Digital Ureteroscope and Choledochoscope SystemAcmi Corporation · 2006
  8. 1 generation backK131369 Flexible Video-Uretero-Renoscope SystemKARL STORZ Endoscopy-America, Inc. · 2013 · Recalled
  9. This deviceK171076 Medical Video Endoscope SystemZhuhai Pusen Medical Technology Co., Ltd. · 2017
  10. Descendant · cites it directly · 3 of its ownK181977 WiScope Digital Endoscope SystemOTU Medical, Inc. · 2018
  11. Descendant · 2 generations on · 1 of its ownK210579 WiScope OM Endoscope System, WiScope Single-Use Digital Flexible…OTU Medical, Inc. · 2021
  12. Descendant · 2 generations on · 0 of its ownK240203 URUS System (DMG-SU100/URUS); URUS System (DMG-SU100R/URUS); URUS…Dyne Medical Group, Inc. · 2024
  13. Descendant · 3 generations on · 0 of its ownK231497 Choledochoscope SystemShenzhen HugeMed Medical Technical Development Co., Ltd. · 2024

Class I recalls in this family

Most influential descendants

Showing 4 of 4 · See all
  • K181977WiScope Digital Endoscope SystemOTU Medical, Inc. · 2018 · cites it directly3descendants
  • K210579WiScope OM Endoscope System, WiScope Single-Use Digital Flexible…OTU Medical, Inc. · 2021 · 2 generations on1descendant
  • K240203URUS System (DMG-SU100/URUS); URUS System (DMG-SU100R/URUS); URUS System (VP-100/Video…Dyne Medical Group, Inc. · 2024 · 2 generations on0descendants
  • K231497Choledochoscope SystemShenzhen HugeMed Medical Technical Development Co., Ltd. · 2024 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K931154Evis 200 SystemOlympus Corp.1993—
−7K963033BF 240/P240/IT240 Bronchovideoscope & AccessoriesOlympus America, Inc.19966
−6K981543Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories and…The Olympus Optical Co.19985
−5K021074Visera Cystovideoscope Olympus Cyf Type V/VAOlympus America, Inc.2002—
−4K030960Ecn Electronic Video CystonephroscopeAcmi Corporation2003—
−3K042225Acmi Invisio Icn, Models Icn-0564 and Icn-0565Acmi Corporation2004—
−2K060269Acmi Dur-Digital Ureteroscope and Choledochoscope SystemAcmi Corporation2006—
−1K131369Flexible Video-Uretero-Renoscope SystemKARL STORZ Endoscopy-America, Inc.20131
0 (this device)K171076Medical Video Endoscope SystemZhuhai Pusen Medical Technology Co., Ltd.2017—
+1K181977WiScope Digital Endoscope SystemOTU Medical, Inc.2018—
+2K210579WiScope OM Endoscope System, WiScope Single-Use Digital Flexible…OTU Medical, Inc.2021—
+2K240203URUS System (DMG-SU100/URUS); URUS System (DMG-SU100R/URUS); URUS System…Dyne Medical Group, Inc.2024—
+3K231497Choledochoscope SystemShenzhen HugeMed Medical Technical Development Co., Ltd.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198520
199121
199210
199310
199520
199720
200010
200140
200310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201810
202110
202420
FIG. 1 — Lineage of K171076, 1993–2024Source: 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.

1 device in this family has a Class I recall. 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 FGB device

  1. #1 K251951 Single-Use Video Flexible Ureterorenoscope…score 16.2 · 10 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
*K131369Flexible Video-Uretero-Renoscope System
Summary page 5
…ame: Ureteroscope and Accessories, Flexible/rigid Classification: Endoscope and accessories. 21 CFR 876.1500. Class II Premarket Notification: Storz K131369 F. Device description: The Medical Video Endoscope system is designed to provide image solution for endoscopy…
KARL STORZ Endoscopy-America, Inc.20131

Also cleared against K131369: 4 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K181977WiScope Digital Endoscope SystemOTU Medical, Inc.20183

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K912120Urf-P2 Ureterorenofiberscope/CholedochofiberscopeOlympus Corp. · 1991 · 6 generations back · ◆ in the 1991 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 24 years and passes through 6 companies; a new generation was cleared every 2.9 years on median.
  • 8 of the 24 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K181977 (OTU Medical, Inc., 2018) has gone furthest, with 3 descendants of its own.
  • 4 other devices also cite its predicate K131369.

How does its category compare?

All FGB devices

FGB Ureteroscope And Accessories, Flexible/Rigid: FDA decisions, review times, recalls and adverse event reports over 20 years. 2017, this device’s year, is highlighted.

FDA decisions per year · FGB

17in 2025

2012: 22013: 12014: 22015: 12017: 22018: 42019: 22020: 22021: 32022: 52023: 82024: 162025: 172026 (partial year): 9
2007high 17 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FGB

134in 2025

2018: 191 days median2021: 191 days median2022: 205 days median2023: 183 days median2024: 217 days median2025: 134 days median2026 (partial year): 140 days median
2007high 217 (2024) · low 134 (2025)2026

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

Recalls per year · FGB

15in 2024

2022: 42023: 12024: 152026 (partial year): 1
2007high 15 (2024) · low 0 (2007)2026

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

Adverse event reports per year · FGB

1,307in 2025

2007: 62008: 72009: 42010: 202011: 172012: 112013: 82014: 122015: 162016: 352017: 1422018: 1182019: 2072020: 4022021: 3252022: 4552023: 4582024: 5722025: 1,307
2007high 1,307 (2025) · low 4 (2009)2025

MAUDE reports naming product code FGB, 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—06
20080—07
20090—04
20100—020
20110—017
20122—011
20131—08
20142—012
20151—016
20160—035
20172—0142
201841910118
20192—0207
20202—0402
202131910325
202252054455
202381831458
20241621715572
20251713401,307
202691401—

What is it indicated for?

This instrument has been designed to be used with endo-therapy accessories such as a biopsy forceps and other ancillary equipment for endoscopy and endoscopic surgery within urinary tract and interior of the kidney.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K171076: Medical Video Endoscope System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K171076

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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