510(k) Report

510(k) · Cleared

Cleared

PillCam Patency System

K180171510(k) TraditionalCleared Mar 8, 201845-day reviewClass II21 CFR 876.1300

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

Given Imaging, Ltd. · NSI System, Imaging, Esophageal, Wireless, Capsule

Cleared on Mar 8, 2018 as substantially equivalent to K090557 (Given Imaging, Ltd., 2009) after a 45-day review. Its family tree reaches back 14 generations to 2001.

Decided
Mar 8, 2018
Review
45 days
Class
Class II
Product code
NSI
Recalls
None
Predicates
1

Its longest line of descent runs back 14 generations to DEN010002 (2001). 15 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 14 generations backDEN010002 Given Diagnostic Imaging SystemGiven Imaging, Ltd. · 2001
  2. 10 generations between
  3. 3 generations backK062786 Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2006
  4. 2 generations backK070475 Modificaton to: Given Diagnostic Imaging SystemGiven Imaging, Ltd. · 2007
  5. 1 generation backK090557 Given Pillcam Platform Will Pillcam SB Capsules, Eso Capsules, Given…Given Imaging, Ltd. · 2009
  6. This deviceK180171 PillCam Patency SystemGiven Imaging, Ltd. · 2018
Show all 14 generations
  1. Root · 14 generations backDEN010002 Given Diagnostic Imaging SystemGiven Imaging, Ltd. · 2001
  2. 13 generations backK020341 Given Diagnostic SystemGiven Imaging, Ltd. · 2002
  3. 12 generations backK022362 Given Diagnostics SystemGiven Imaging, Ltd. · 2002
  4. 11 generations backK022980 Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2003
  5. 10 generations backK031033 Given Diagnostic SystemGiven Imaging, Ltd. · 2003
  6. 9 generations backK032405 Given Diagnostic SystemGiven Imaging, Ltd. · 2003
  7. 8 generations backK040248 Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2004
  8. 7 generations backK041149 Given Diagnostic System with M2A Eso CapsuleGiven Imaging, Ltd. · 2004
  9. 6 generations backK042960 Given Diagnostic System with Pillcam EsoGiven Imaging, Ltd. · 2004
  10. 5 generations backK052184 Given Diagnostic SystemGiven Imaging, Ltd. · 2005
  11. 4 generations backK060805 Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2006
  12. 3 generations backK062786 Modification to Given Diagnostic SystemGiven Imaging, Ltd. · 2006
  13. 2 generations backK070475 Modificaton to: Given Diagnostic Imaging SystemGiven Imaging, Ltd. · 2007
  14. 1 generation backK090557 Given Pillcam Platform Will Pillcam SB Capsules, Eso Capsules, Given…Given Imaging, Ltd. · 2009
  15. This deviceK180171 PillCam Patency SystemGiven Imaging, Ltd. · 2018
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14DEN010002Given Diagnostic Imaging SystemGiven Imaging, Ltd.2001—
−13K020341Given Diagnostic SystemGiven Imaging, Ltd.2002—
−12K022362Given Diagnostics SystemGiven Imaging, Ltd.2002—
−11K022980Modification to Given Diagnostic SystemGiven Imaging, Ltd.2003—
−10K031033Given Diagnostic SystemGiven Imaging, Ltd.2003—
−9K032405Given Diagnostic SystemGiven Imaging, Ltd.2003—
−8K040248Modification to Given Diagnostic SystemGiven Imaging, Ltd.2004—
−7K041149Given Diagnostic System with M2A Eso CapsuleGiven Imaging, Ltd.2004—
−6K042960Given Diagnostic System with Pillcam EsoGiven Imaging, Ltd.2004—
−5K052184Given Diagnostic SystemGiven Imaging, Ltd.2005—
−4K060805Modification to Given Diagnostic SystemGiven Imaging, Ltd.2006—
−3K062786Modification to Given Diagnostic SystemGiven Imaging, Ltd.2006—
−2K070475Modificaton to: Given Diagnostic Imaging SystemGiven Imaging, Ltd.2007—
−1K090557Given Pillcam Platform Will Pillcam SB Capsules, Eso Capsules, Given Agile…Given Imaging, Ltd.2009—
0 (this device)K180171PillCam Patency SystemGiven Imaging, Ltd.2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200610
FIG. 1 — Lineage of K180171, 2001–2018Source: 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 NSI? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin 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
*K090557Given Pillcam Platform Will Pillcam SB Capsules, Eso Capsules, Given Agile Patency System
Summary page 5
…Page 2 of 4 III. PREDICATE DEVICE(S) Given AGILE Patency System and Given Platform with PillCam SB Capsules (K090557) IV. DEVICE DESCRIPTION: There is no change between the Predicate device (K090557) and PillCam Patency System. The PillCa…
Given Imaging, Ltd.2009—
†K053639Given Diagnostic SystemGiven Imaging, Ltd.2006—

Also cleared against K090557: 3 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 17 years and passes through 1 company; a new generation was cleared every 7 months on median.
  • None of the 15 ancestors has a recall.
  • 3 other devices also cite its predicate K090557.

How does its category compare?

All NSI devices

NSI System, Imaging, Esophageal, Wireless, Capsule: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · NSI

1in 2018

2007: 12009: 12018: 1
2007high 1 (2007) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NSI

Too few NSI 510(k)s in any year since 2007 to give a median.

Recalls per year · NSI

No recall names NSI since 2007.

Adverse event reports per year · NSI

1in 2023

2009: 12010: 12012: 12014: 22015: 12016: 32017: 12018: 152019: 32020: 12023: 1
2007high 15 (2018) · low 0 (2007)2025

MAUDE reports naming product code NSI, 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—00
20080—00
20091—01
20100—01
20110—00
20120—01
20130—00
20140—02
20150—01
20160—03
20170—01
20181—015
20190—03
20200—01
20210—00
20220—00
20230—01
20240—00
20250—00
20260—0—

What is it indicated for?

The PillCam Patency System is an accessory to the PillCam video capsule and is intended to verify adequate patency of the gastrointestinal tract prior to administration of the PillCam video capsule in patients with known or suspected strictures. The PillCam Patency capsule should only be used within the specified patient age range based on the patient age of the indicated video capsule system.

Therefore, the PillCam Patency System is intended to be used:

• prior to PillCam SB capsule in adults and children from 2 years of age, or

• prior to PillCam UGI, COLON, and Crohn’s capsules in adults

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K180171: PillCam Patency System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K180171

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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