510(k) Report

510(k) · Cleared

Cleared

AP50/30 Insufflator with Insuflow Port

K191780510(k) TraditionalCleared Aug 28, 201957-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 Aug 28, 2019 as substantially equivalent to K170799 (Lexion Medical, LLC, 2017) and 1 other predicate after a 57-day review. Its family tree reaches back 10 generations to 1997. 3 of the 49 devices in its family, counting itself, have a Class I recall.

Decided
Aug 28, 2019
Review
57 days
Class
Class II
Product code
HIF
Recalls
None
Predicates
2

Its longest line of descent runs back 10 generations to K964171 (1997). 48 ancestors in all, the oldest K903419 (1990). No later device cites it as a predicate yet. 3 of the 49 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2017: 1 other ancestor2016: 1 other ancestor2015: 1 other ancestor2012: 3 other ancestors, 1 with a Class I recall12003: 5 other ancestors2001: 2 other ancestors1996: 2 other ancestors2011: 1 other ancestor, 1 with a Class I recall12009: 2 other ancestors2008: 1 other ancestor2007: 3 other ancestors2004: 1 other ancestor2006: 2 other ancestors2002: 1 other ancestor, 1 with a Class I recall12000: 1 other ancestor1999: 2 other ancestors1994: 1 other ancestor1991: 2 other ancestors1990: 1 other ancestor1998: 1 other ancestor1995: 2 other ancestors1993: 1 other ancestor1992: 1 other ancestorK964171 · 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 · 2014K170799 · AP 50/30 Insufflator with Insuflow Port · Lexion Medical, LLC · 20171990199520002005201020152020
  1. Root · 10 generations backK964171 Vasoview Balloon Dissection SystemOrigin Medsystems, Inc. · 1997
  2. 6 generations between
  3. 3 generations backK132204 Insuflow Synergy XL PortLexion Medical, LLC · 2013
  4. 2 generations backK140263 Insuflow Synergy Port, Insuflow Synergy XL PortLexion Medical, LLC · 2014
  5. 1 generation backK170799 AP 50/30 Insufflator with Insuflow PortLexion Medical, LLC · 2017
  6. This deviceK191780 AP50/30 Insufflator with Insuflow PortLexion Medical, LLC · 2019
Show all 10 generations
  1. Root · 10 generations backK964171 Vasoview Balloon Dissection SystemOrigin Medsystems, Inc. · 1997
  2. 9 generations backK981700 Vasoview Dissection/Vessel Harvesting SystemOrigin Medsystems, Inc. · 1998
  3. 8 generations backK030512 Guidant Vasoview Endoscopic Vessel Harvesting SystemGuidant Corp. · 2003 · Recalled
  4. 7 generations backK060723 40 L High Flow Insufflator F113W.O.M. World of Medicine AG · 2006
  5. 6 generations backK063367 45L Core Insufflator, Model F114W.O.M. World of Medicine AG · 2007 · Recalled
  6. 5 generations backK103692 Sugiquest Airsealoptical Trocar & Cannula System with Integrated…Surgiquest, Inc. · 2011
  7. 4 generations backK120640 Insuflow Synergy PortLexion Medical, LLC · 2012
  8. 3 generations backK132204 Insuflow Synergy XL PortLexion Medical, LLC · 2013
  9. 2 generations backK140263 Insuflow Synergy Port, Insuflow Synergy XL PortLexion Medical, LLC · 2014
  10. 1 generation backK170799 AP 50/30 Insufflator with Insuflow PortLexion Medical, LLC · 2017
  11. This deviceK191780 AP50/30 Insufflator with Insuflow PortLexion Medical, LLC · 2019

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K964171Vasoview Balloon Dissection SystemOrigin Medsystems, Inc.1997—
−9K981700Vasoview Dissection/Vessel Harvesting SystemOrigin Medsystems, Inc.1998—
−8K030512Guidant Vasoview Endoscopic Vessel Harvesting SystemGuidant Corp.20031
−7K06072340 L High Flow Insufflator F113W.O.M. World of Medicine AG2006—
−6K06336745L Core Insufflator, Model F114W.O.M. World of Medicine AG20074
−5K103692Sugiquest Airsealoptical Trocar & Cannula System with Integrated Insufflator…Surgiquest, Inc.2011—
−4K120640Insuflow Synergy PortLexion Medical, LLC2012—
−3K132204Insuflow Synergy XL PortLexion Medical, LLC2013—
−2K140263Insuflow Synergy Port, Insuflow Synergy XL PortLexion Medical, LLC2014—
−1K170799AP 50/30 Insufflator with Insuflow PortLexion Medical, LLC2017—
0 (this device)K191780AP50/30 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
199920
200010
200120
200211
200350
200410
200620
200730
200810
200920
201111
201231
201510
201610
201710
FIG. 1 — Lineage of K191780, 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.

3 devices in this family have 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 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? (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
*K170799AP 50/30 Insufflator with Insuflow Port
Summary page 4
…nsufflator with Insuflow® Port devices is substantially equivalent to the following devices: • Primary Predicate: AP50/30 Insufflator with Insuflow Port, K170799 • Secondary Predicate: PNEUMOCLEAR Insufflator, K170784 None of the cited predicate devices have been subject to…
Lexion Medical, LLC2017—
*K170784Pneumoclear
Summary page 4
…e following devices: • Primary Predicate: AP50/30 Insufflator with Insuflow Port, K170799 • Secondary Predicate: PNEUMOCLEAR Insufflator, K170784 None of the cited predicate devices have been subject to a design-related recall. Description: The Lexion AP50/30 Insufflator i…
W.O.M. World of Medicine GmbH20171

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (3 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.

  • K122180High Flow Insufflantion UnitOlympus Medical Systems Corporation · 2012 · 3 generations back · ◆ in the 2012 ancestors bar of FIG. 11 Class I recall
  • K110294High Flow Insufflation Unit Uhi-4Olympus Medical Systems Corporation · 2011 · 4 generations back · ◆ in the 2011 ancestors bar of FIG. 11 Class I recall
  • K014166Uhi-3 High Flow Insufflation UnitOlympus Optical Co., Ltd. · 2002 · 5 generations back · ◆ in the 2002 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 22 years and passes through 5 companies; a new generation was cleared every 1.8 years on median.
  • 11 of the 48 ancestors have a recall of any class; 3 have a Class I recall.

How does its category compare?

All HIF devices

HIF Insufflator, Laparoscopic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, 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 (159 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 TAMIS operating mode is indicated to fill and distend the rectum and colon using CO2 gas during trans anal minimal invasive surgery.

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 as stated in the FDA summary.

Cite this page

510(k) Report. “K191780: AP50/30 Insufflator with Insuflow Port.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191780

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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