510(k) Report

510(k) · Cleared

Cleared

Single Use Guide Sheath Kit K-401, K-402, & Single Use Guiding Device CC-220DR

K192164510(k) TraditionalCleared Mar 6, 2020210-day reviewClass II21 CFR 874.4680

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

Olympus Medical Systems Corp. · EOQ Bronchoscope (Flexible Or Rigid)

Cleared on Mar 6, 2020 as substantially equivalent to K060243 (Olympus Medical Systems Corporation, 2006) and 2 other predicates after a 210-day review. Its family tree reaches back 10 generations to 1993. 5 of the 36 devices in its family, counting itself, have a Class I recall. 1 later device descends from it.

Decided
Mar 6, 2020
Review
210 days
Class
Class II
Product code
EOQ
Recalls
None
Predicates
3

Its longest line of descent runs back 10 generations to K931154 (1993). 34 ancestors in all, the oldest K780872 (1978). 1 later device descends from it, 1 citing it directly. 5 of the 36 devices in this family, counting this one, have a Class I recall.

Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors, 1 with a Class I recall12 generations back: 2 other ancestors3 generations back: 2 other ancestors4 generations back: 7 other ancestors, 1 with a Class I recall15 generations back: 4 other ancestors, 1 with a Class I recall16 generations back: 7 other ancestors 1 generation forward: 1 descendant K172726 · EVIS EXERA III BRONCHOFIBERVIDEOSCOPE OLYMPUS BF-MP190F, Single Use Biopsy Forceps FB-433D · Olympus Medical Systems Corp. · 2018 · recalledK121959 · Evis Exera Iii Video System · Olympus Medical Systems Corp. · 2013 · Class I recallK100584 · Evis Exeraii 180 System · Olympus Medical Systems Corporation · 2010 · recalledK061313 · Evis Exera 180 System · Olympus Medical Systems Corporation · 2006 · Class I recallK031648 · Visera Rhino-Laryngovideoscope Olympus Enf Type V · Olympus Optical Co., Ltd. · 2003K021073 · Visera Rhinlaryngovideoscope Olympus Enf Type V · Olympus America, Inc. · 2002K013591 · Xenf-TP Rhino-Laryngofiberscope, Its Acessories and Ancillary Equipment · Olympus Optical Co., Ltd. · 2001K981543 · Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories and Ancillary Equipment · The Olympus Optical Co. · 1998 · recalledK963033 · BF 240/P240/IT240 Bronchovideoscope & Accessories · Olympus America, Inc. · 1996 · recalledK931154 · Evis 200 System · Olympus Corp. · 1993−10−50
  1. Root · 10 generations backK931154 Evis 200 SystemOlympus Corp. · 1993
  2. 6 generations between
  3. 3 generations backK100584 Evis Exeraii 180 SystemOlympus Medical Systems Corporation · 2010 · Recalled
  4. 2 generations backK121959 Evis Exera Iii Video SystemOlympus Medical Systems Corp. · 2013 · Recalled (Class I)
  5. 1 generation backK172726 EVIS EXERA III BRONCHOFIBERVIDEOSCOPE OLYMPUS BF-MP190F, Single Use…Olympus Medical Systems Corp. · 2018 · Recalled
  6. This deviceK192164 Single Use Guide Sheath Kit K-401, K-402, & Single Use Guiding…Olympus Medical Systems Corp. · 2020
  7. Descendant · cites it directly · 0 of its ownK212667 Single Use Guide Sheath Kit-401, K-402Olympus Medical Systems Corp. · 2021
Show all 10 generations
  1. Root · 10 generations backK931154 Evis 200 SystemOlympus Corp. · 1993
  2. 9 generations backK963033 BF 240/P240/IT240 Bronchovideoscope & AccessoriesOlympus America, Inc. · 1996 · Recalled
  3. 8 generations backK981543 Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories…The Olympus Optical Co. · 1998 · Recalled
  4. 7 generations backK013591 Xenf-TP Rhino-Laryngofiberscope, Its Acessories and Ancillary…Olympus Optical Co., Ltd. · 2001
  5. 6 generations backK021073 Visera Rhinlaryngovideoscope Olympus Enf Type VOlympus America, Inc. · 2002
  6. 5 generations backK031648 Visera Rhino-Laryngovideoscope Olympus Enf Type VOlympus Optical Co., Ltd. · 2003
  7. 4 generations backK061313 Evis Exera 180 SystemOlympus Medical Systems Corporation · 2006 · Recalled (Class I)
  8. 3 generations backK100584 Evis Exeraii 180 SystemOlympus Medical Systems Corporation · 2010 · Recalled
  9. 2 generations backK121959 Evis Exera Iii Video SystemOlympus Medical Systems Corp. · 2013 · Recalled (Class I)
  10. 1 generation backK172726 EVIS EXERA III BRONCHOFIBERVIDEOSCOPE OLYMPUS BF-MP190F, Single Use…Olympus Medical Systems Corp. · 2018 · Recalled
  11. This deviceK192164 Single Use Guide Sheath Kit K-401, K-402, & Single Use Guiding…Olympus Medical Systems Corp. · 2020

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K212667Single Use Guide Sheath Kit-401, K-402Olympus Medical Systems Corp. · 2021 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K931154Evis 200 SystemOlympus Corp.1993—
−9K963033BF 240/P240/IT240 Bronchovideoscope & AccessoriesOlympus America, Inc.19966
−8K981543Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories and…The Olympus Optical Co.19985
−7K013591Xenf-TP Rhino-Laryngofiberscope, Its Acessories and Ancillary EquipmentOlympus Optical Co., Ltd.2001—
−6K021073Visera Rhinlaryngovideoscope Olympus Enf Type VOlympus America, Inc.2002—
−5K031648Visera Rhino-Laryngovideoscope Olympus Enf Type VOlympus Optical Co., Ltd.2003—
−4K061313Evis Exera 180 SystemOlympus Medical Systems Corporation2006Class I
−3K100584Evis Exeraii 180 SystemOlympus Medical Systems Corporation20109
−2K121959Evis Exera Iii Video SystemOlympus Medical Systems Corp.2013Class I
−1K172726EVIS EXERA III BRONCHOFIBERVIDEOSCOPE OLYMPUS BF-MP190F, Single Use Biopsy…Olympus Medical Systems Corp.20182
0 (this device)K192164Single Use Guide Sheath Kit K-401, K-402, & Single Use Guiding Device CC-220DROlympus Medical Systems Corp.2020—
+1K212667Single Use Guide Sheath Kit-401, K-402Olympus Medical Systems Corp.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198520
198610
199121
199220
199310
199530
199610
200030
200110
200210
200311
200520
200621
201910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
FIG. 1 — Lineage of K192164, 1993–2021Source: 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.

5 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 EOQ device

  1. #1 K223299 Ambu® aScope™ 5 Broncho HD 5.0/2.2, Ambu®…score 18.4 · 11 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? (3)

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
*K060243Olympus Guide Sheath, Model XBO1-836-13
Summary page 6
…heath, XBO1-836-13 ■ Common Name: Bronchoscope accessory ■ Applicant Olympus Medical System Corporation ■ 510(k) No. K060243 Predicate device for Single Use Biopsy Forceps FB-433D ■ Device Name: Single Use Biopsy Forceps FB-433D…
Olympus Medical Systems Corporation2006Class I
*K172726EVIS EXERA III BRONCHOFIBERVIDEOSCOPE OLYMPUS BF-MP190F, Single Use Biopsy Forceps FB-433D
Summary page 7
…e Guiding Device CC-220DR ■ Common Name: Biopsy forceps ■ Applicant Olympus Medical Systems Corp. ■ 510(k) No. K172726 Predicate device for Single Use Cytology Brush BC-205D ■ Device Name: Single Use Cytology Brush BC-205D ■…
Olympus Medical Systems Corp.20182
*K190293Single Use Cytology Brush BC-205D
Summary page 7
…ology Brush BC-205D ■ Common Name: Cytology brush ■ Applicant Olympus Medical Systems Corp. ■ 510(k) No. K190293 Predicate device for Single Use Guiding Device CC-220DR ■ Device Name: CC-4CR-1 Curette (Double-hinged type)…
Olympus Medical Systems Corp.2019—

Also cleared against K060243: 3 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K212667Single Use Guide Sheath Kit-401, K-402Olympus Medical Systems Corp.20210

Has anything in its family been recalled? (5 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.

  • K060243Olympus Guide Sheath, Model XBO1-836-13Olympus Medical Systems Corporation · 2006 · Direct predicate · ◆ in the 2006 ancestors bar of FIG. 11 Class I recall
  • K121959Evis Exera Iii Video SystemOlympus Medical Systems Corp. · 2013 · 2 generations back · ◆ on the line of descent in FIG. 18 Class I recalls
  • K061313Evis Exera 180 SystemOlympus Medical Systems Corporation · 2006 · 3 generations back · ◆ on the line of descent in FIG. 16 Class I recalls
  • K023984Modification to Olympus Bronchoscopes BF-40 Series, BF-240 Series, and BF-160 SeriesThe Olympus Optical Co. · 2003 · 4 generations back · ◆ in the 2003 ancestors bar of FIG. 114 Class I recalls
  • K912120Urf-P2 Ureterorenofiberscope/CholedochofiberscopeOlympus Corp. · 1991 · 5 generations back · ◆ in the 1991 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 27 years and passes through 6 companies; a new generation was cleared every 2.9 years on median.
  • 20 of the 34 ancestors have a recall of any class; 5 have a Class I recall.
  • Of its descendants, K212667 (Olympus Medical Systems Corp., 2021) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K060243.

How does its category compare?

All EOQ devices

EOQ Bronchoscope (Flexible Or Rigid): FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · EOQ

20in 2025

2007: 22008: 22009: 32012: 22013: 42014: 32015: 62016: 32017: 42018: 72019: 112020: 102021: 152022: 112023: 122024: 132025: 202026 (partial year): 9
2007high 20 (2025) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · EOQ

147in 2025

2009: 24 days median2013: 178 days median2014: 302 days median2015: 206 days median2016: 262 days median2017: 136 days median2018: 212 days median2019: 147 days median2020: 103 days median2021: 169 days median2022: 134 days median2023: 160 days median2024: 130 days median2025: 147 days median2026 (partial year): 206 days median
2007high 302 (2014) · low 24 (2009)2026

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

Recalls per year · EOQ

25in 2025

2011: 12012: 42016: 12019: 12020: 12021: 92022: 52023: 18, 4 Class I2024: 42025: 25, 24 Class I
2007high 25 (2025) · low 0 (2007)2026

Class I (28 since 2007) Class II/III not classified

Adverse event reports per year · EOQ

6,546in 2025

2007: 392008: 872009: 1142010: 1002011: 962012: 932013: 932014: 982015: 1322016: 2972017: 3372018: 2792019: 6542020: 5152021: 1,3582022: 2,5412023: 5,0642024: 6,0512025: 6,546
2007high 6,546 (2025) · low 39 (2007)2025

MAUDE reports naming product code EOQ, 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
20072—039
20082—087
20093240114
20100—0100
20110—196
20122—493
20134178093
20143302098
201562060132
201632621297
201741360337
201872120279
2019111471654
2020101031515
20211516991,358
20221113452,541
20231216018 (4)5,064
20241313046,051
20252014725 (24)6,546
202692060—

What is it indicated for?

Single Use Guide Sheath Kit K-401, K-402 These instruments have been designed to be used with Olympus bronchoscopes, EndoTherapy accessories, and/or ultrasonic probes to guide the EndoTherapy accessories and/or the ultrasonic probes to the target area within the tracheobronchial tree and collect tissue, specimens, or cells bronchoscopically. This kit and its components are intended for adult patients only. - Indications for use of each component Single…

Read the full statement (209 words)

Single Use Guide Sheath Kit K-401, K-402

These instruments have been designed to be used with Olympus bronchoscopes, EndoTherapy accessories, and/or ultrasonic probes to guide the EndoTherapy accessories and/or the ultrasonic probes to the target area within the tracheobronchial tree and collect tissue, specimens, or cells bronchoscopically. This kit and its components are intended for adult patients only.

- Indications for use of each component

Single Use Guide Sheath SG-400C

The single use guide sheath has been designed to be used with Olympus bronchoscopes, EndoTherapy accessories, and/or ultrasonic probes to guide the EndoTherapy accessories and/or the ultrasonic probes to the target area within the tracheobronchial tree.

Single Use Biopsy Forceps FB-433D

The biopsy forceps has been designed specifically to collect tissue endoscopically for examination in conjunction with a flexible bronchoscope within the tracheobronchial tree.

Single Use Cytology Brush BC-205D

The cytology brush has been specifically designed to collect specimens or cells endoscopically for cytologic examination in conjunction with the bronchoscope within the tracheobronchial tree.

Single Use Guiding Device CC-220DR

This instrument has been designed to be used with an Olympus endoscope and guide sheath to guide the guide sheath to the respiratory organs and to collect specimens within the respiratory organs.

This device is intended for adult patients only.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K192164: Single Use Guide Sheath Kit K-401, K-402, & Single Use Guiding Device CC-220DR.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K192164

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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