510(k) · Cleared
Recalled · Class II · 2026OverStitch Endoscopic Suturing System and Accessories
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Apollo Endosurgery · OCW Endoscopic Tissue Approximation Device
Cleared on Jun 27, 2018 as substantially equivalent to K171886 (Apollo Endosurgery, Inc., 2017) after a 57-day review. Its family tree reaches back 4 generations to 1997. 3 later devices descend from it. It has been recalled 2 times.
- Decided
- Jun 27, 2018
- Review
- 57 days
- Class
- Class II
- Product code
- OCW
- Recalls
- 2
- Predicates
- 1
Its longest line of descent runs back 4 generations to K972679 (1997). 7 ancestors in all. 3 later devices descend from it, 2 citing it directly.
- Root · 4 generations backK972679 Endopath Endoscopic Tissue Fastening System (Etfs)Ethicon Endo-Surgery, Inc. · 1997
- 3 generations backK061770 Ethicon Endo Surgery Endoscopic Suturing SystemEthicon Endo-Surgery, Inc. · 2006
- 2 generations backK081853 Overstitch Endoscopic Suture SystemApollo Endosurgery, Inc. · 2008
- 1 generation backK171886 OverStitch SX Endoscopic Suturing System (ESS)Apollo Endosurgery, Inc. · 2017
- This deviceK181141 OverStitch Endoscopic Suturing System and AccessoriesApollo Endosurgery · 2018
- Descendant · cites it directly · 1 of its ownK210266 OverStitch Sx Endoscopic Suturing SystemApollo Endosurgery, Inc. · 2021
- Descendant · 2 generations on · 0 of its ownK231553 OverStitch NXT Endoscopic Suturing SystemApollo Endosurgery, Inc. · 2023
- Descendant · cites it directly · 0 of its ownK191439 OverStitch 2-0 Polypropylene SutureApollo Endosurgery · 2019
Most influential descendants
Showing 3 of 3 · See all- K210266OverStitch Sx Endoscopic Suturing SystemApollo Endosurgery, Inc. · 2021 · cites it directly1descendant
- K231553OverStitch NXT Endoscopic Suturing SystemApollo Endosurgery, Inc. · 2023 · 2 generations on0descendants
- K191439OverStitch 2-0 Polypropylene SutureApollo Endosurgery · 2019 · cites it directly0descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −4 | K972679 | Endopath Endoscopic Tissue Fastening System (Etfs) | Ethicon Endo-Surgery, Inc. | 1997 | — |
| −3 | K061770 | Ethicon Endo Surgery Endoscopic Suturing System | Ethicon Endo-Surgery, Inc. | 2006 | — |
| −2 | K081853 | Overstitch Endoscopic Suture System | Apollo Endosurgery, Inc. | 2008 | — |
| −1 | K171886 | OverStitch SX Endoscopic Suturing System (ESS) | Apollo Endosurgery, Inc. | 2017 | — |
| 0 (this device) | K181141 | OverStitch Endoscopic Suturing System and Accessories | Apollo Endosurgery | 2018 | — |
| +1 | K210266 | OverStitch Sx Endoscopic Suturing System | Apollo Endosurgery, Inc. | 2021 | — |
| +2 | K231553 | OverStitch NXT Endoscopic Suturing System | Apollo Endosurgery, Inc. | 2023 | — |
| +1 | K191439 | OverStitch 2-0 Polypropylene Suture | Apollo Endosurgery | 2019 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1998 | 1 | 0 |
| 2001 | 2 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2019 | 1 | 0 |
| 2021 | 1 | 0 |
| 2023 | 1 | 0 |
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 OCW? 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 OCW device
- #1 K252400 Endomina EZFuse systemscore 12.0 · 5 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K171886 | OverStitch SX Endoscopic Suturing System (ESS)Summary page 4…vice Product Code: OCW Classification: Class II (21 CFR 876.1500) Classification Name Endoscope and Accessories Predicate Devices: K171886 – OverStitch™ Endoscopic Suturing System Device Description The OverStitch™ Endoscopic Suturing System and accessories… | 2017 |
What descends from it? (3)
2 later devices cite it directly; ranked here by how many devices descend from each in turn.
Has anything in its family been recalled? (0 Class I)
Recalls of this device
| Date | Class | Recall | Root cause | Reason |
|---|---|---|---|---|
| Jul 14, 2026 | Class II | Z-2961-2026 | Under Investigation by firm | Device may fail to deploy the cinch implant and/or fail to cut the suture as intended. |
| Jul 14, 2026 | Class II | Z-2962-2026 | Under Investigation by firm | Device may fail to deploy the cinch implant and/or fail to cut the suture as intended. |
No ancestor or descendant has a Class I recall.
What does this lineage say?
- The line of descent spans 21 years and passes through 3 companies; a new generation was cleared every 9.0 years on median.
- 1 of the 7 ancestors has a recall of any class.
- Of its descendants, K210266 (Apollo Endosurgery, Inc., 2021) has gone furthest, with 1 descendant of its own.
- 2 other devices also cite its predicate K171886.
How does its category compare?
All OCW devicesOCW Endoscopic Tissue Approximation Device: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.
FDA decisions per year · OCW
1in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · OCW
133in 2023
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · OCW
3so far in 2026, the most since 2007
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · OCW
326in 2025
MAUDE reports naming product code OCW, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 5 | 58 | 0 | 9 |
| 2008 | 4 | 70 | 0 | 47 |
| 2009 | 3 | 30 | 0 | 30 |
| 2010 | 4 | 91 | 0 | 10 |
| 2011 | 1 | — | 0 | 16 |
| 2012 | 1 | — | 0 | 28 |
| 2013 | 2 | — | 0 | 2 |
| 2014 | 0 | — | 0 | 28 |
| 2015 | 0 | — | 0 | 59 |
| 2016 | 2 | — | 0 | 74 |
| 2017 | 2 | — | 0 | 420 |
| 2018 | 2 | — | 0 | 413 |
| 2019 | 1 | — | 0 | 291 |
| 2020 | 1 | — | 0 | 183 |
| 2021 | 3 | 221 | 0 | 198 |
| 2022 | 0 | — | 0 | 235 |
| 2023 | 3 | 133 | 1 | 227 |
| 2024 | 0 | — | 0 | 211 |
| 2025 | 1 | — | 0 | 326 |
| 2026 | 2 | — | 3 | — |
What is it indicated for?
The OverStitch Endoscopic Suturing System is intended for endoscopic placement of suture(s) and approximation of soft tissue.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K181141 · printed Nov 6, 2026
Cite this page
510(k) Report. “K181141: OverStitch Endoscopic Suturing System and Accessories.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K181141
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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