510(k) Report

510(k) · Cleared

Cleared

Flexor Ureteral Access Sheath and Flexor Parallel Rapid Release Ureteral Access Sheath

K172217510(k) TraditionalCleared Dec 13, 2017142-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

Cook Incorporated · FED Endoscopic Access Overtube, Gastroenterology-Urology

Cleared on Dec 13, 2017 as substantially equivalent to K043418 (Cook Urological, Inc., 2005) and 1 other predicate after a 142-day review. Its family tree reaches back 3 generations to 1999. 2 later devices descend from it.

Decided
Dec 13, 2017
Review
142 days
Class
Class II
Product code
FED
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K990775 (1999). 9 ancestors in all, the oldest K961904 (1996). 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2014: 1 other ancestor2010: 1 other ancestor2003: 3 other ancestors1996: 1 other ancestor2019: 1 descendant cleared2025: 1 descendant clearedK990775 · Ureteral Access Sheath Set · Applied Medical Resources · 1999K993650 · Ureteral Access Sheath Set - New Models · Applied Medical Resources · 1999K043418 · Cook Pediatric Flexor Ureteral Access Shealth · Cook Urological, Inc. · 2005 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 5 other ancestors 1 generation forward: 2 descendants K043418 · Cook Pediatric Flexor Ureteral Access Shealth · Cook Urological, Inc. · 2005 · recalledK993650 · Ureteral Access Sheath Set - New Models · Applied Medical Resources · 1999K990775 · Ureteral Access Sheath Set · Applied Medical Resources · 19990
  1. Root · 3 generations backK990775 Ureteral Access Sheath SetApplied Medical Resources · 1999
  2. 2 generations backK993650 Ureteral Access Sheath Set - New ModelsApplied Medical Resources · 1999
  3. 1 generation backK043418 Cook Pediatric Flexor Ureteral Access ShealthCook Urological, Inc. · 2005 · Recalled
  4. This deviceK172217 Flexor Ureteral Access Sheath and Flexor Parallel Rapid Release…Cook Incorporated · 2017
  5. Descendant · cites it directly · 0 of its ownK250132 Ureteral Access SheathZhejiang YiGao Medical Technology Co., Ltd. · 2025
  6. Descendant · cites it directly · 0 of its ownK182403 Peel-Away IntroducerCook Incorporated · 2019

Most influential descendants

Showing 2 of 2 · See all
  • K250132Ureteral Access SheathZhejiang YiGao Medical Technology Co., Ltd. · 2025 · cites it directly0descendants
  • K182403Peel-Away IntroducerCook Incorporated · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K990775Ureteral Access Sheath SetApplied Medical Resources1999—
−2K993650Ureteral Access Sheath Set - New ModelsApplied Medical Resources1999—
−1K043418Cook Pediatric Flexor Ureteral Access ShealthCook Urological, Inc.20051
0 (this device)K172217Flexor Ureteral Access Sheath and Flexor Parallel Rapid Release Ureteral…Cook Incorporated2017—
+1K250132Ureteral Access SheathZhejiang YiGao Medical Technology Co., Ltd.2025—
+1K182403Peel-Away IntroducerCook Incorporated2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610
200330
201010
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
202510
FIG. 1 — Lineage of K172217, 1999–2025Source: 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 FED? 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 FED device

  1. #1 K241181 Disposable Ureteral Guide Sheathscore 15.0 · 5 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? (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
*K043418Cook Pediatric Flexor Ureteral Access Shealth
Summary page 5
…FED Device Class: II Classification Panel: Gastroenterology/Urology Predicate Devices: • The Cook® Pediatric Flexor Ureteral Access Sheath (K043418) is intended for use in establishing a conduit during endoscopic urological procedures facilitating the passage of endoscop…
Cook Urological, Inc.20051
*K140523RE-Trace Ureteral Access Sheath, 12/14 CH/FR, Length 35 CM, Length 45 CM
Summary page 5
…k® Pediatric Flexor Ureteral Access Sheath is intended for Pediatric Use in patients two years of age and older. • The Coloplast A/S Re-Trace Ureteral Access Sheath (K140523) is intended to be used to establish a continuous conduit during urological endoscopic procedures facilitating the passage…
Coloplast A/S2014—

Also cleared against K043418: 1 other device →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K250132Ureteral Access SheathZhejiang YiGao Medical Technology Co., Ltd.20250
K182403Peel-Away IntroducerCook Incorporated20190

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 18 years and passes through 3 companies; a new generation was cleared every 5.3 years on median.
  • 1 of the 9 ancestors has a recall of any class.
  • Of its descendants, K250132 (Zhejiang YiGao Medical Technology Co., Ltd., 2025) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K043418.

How does its category compare?

All FED devices

FED Endoscopic Access Overtube, Gastroenterology-Urology: FDA decisions, review times, recalls and adverse event reports over 20 years. 2017, this device’s year, is highlighted.

FDA decisions per year · FED

11in 2025

2007: 12008: 12009: 42010: 32011: 12012: 42013: 22014: 42015: 22016: 52017: 12018: 42019: 52020: 42021: 32022: 12023: 32024: 62025: 112026 (partial year): 6
2007high 11 (2025) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FED

120in 2025

2009: 90 days median2010: 90 days median2012: 82 days median2014: 123 days median2016: 126 days median2018: 122 days median2019: 94 days median2020: 117 days median2021: 189 days median2023: 138 days median2024: 98 days median2025: 120 days median2026 (partial year): 67 days median
2007high 189 (2021) · low 82 (2012)2026

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

Recalls per year · FED

4in 2024

2007: 12013: 32024: 4, 4 Class I
2007high 4 (2024) · low 0 (2008)2026

Class I (4 since 2007) Class II/III not classified

Adverse event reports per year · FED

115in 2025

2007: 142008: 182009: 192010: 192011: 202012: 352013: 252014: 342015: 352016: 292017: 322018: 342019: 302020: 332021: 552022: 362023: 532024: 642025: 115
2007high 115 (2025) · low 14 (2007)2025

MAUDE reports naming product code FED, 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
20071—114
20081—018
2009490019
2010390019
20111—020
2012482035
20132—325
20144123034
20152—035
20165126029
20171—032
20184122034
2019594030
20204117033
20213189055
20221—036
20233138053
20246984 (4)64
2025111200115
20266670—

What is it indicated for?

The Flexor® Ureteral Access Sheath is used to establish a conduit during endoscopic urological procedures, facilitating the passage of endoscopes and other instruments into the urinary tract. Thirteen (13) cm length is intended for use in pediatric patients two (2) years of age and over.

The Flexor® Parallel™ Rapid Release™ Ureteral Access Sheath is used to establish a conduit during endoscopic urological procedures, facilitating the passage of endoscopes and other instruments into the urinary tract.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K172217: Flexor Ureteral Access Sheath and Flexor Parallel Rapid Release Ureteral Access Sheath.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K172217

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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