510(k) Report

510(k) · Cleared

Cleared

Laparoscope Lens Shield Device (LENS)

K192891510(k) SpecialCleared Nov 7, 201928-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

Medeon Biodesign, Inc. · GCJ Laparoscope, General & Plastic Surgery

Cleared on Nov 7, 2019 as substantially equivalent to K170103 (Medeon Biodesign, Inc., 2017) after a 28-day review. Its family tree reaches back 7 generations to 1991. 4 later devices descend from it.

Decided
Nov 7, 2019
Review
28 days
Class
Class II
Product code
GCJ
Recalls
None
Predicates
1

Its longest line of descent runs back 7 generations to K904871 (1991). 22 ancestors in all, the oldest K902683 (1990). 4 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1998: 2 other ancestors2006: 2 other ancestors2005: 1 other ancestor2004: 1 other ancestor2002: 1 other ancestor2000: 1 other ancestor1999: 2 other ancestors1993: 1 other ancestor1990: 1 other ancestor1996: 1 other ancestor1994: 2 other ancestors2024: 1 descendant cleared2020: 1 descendant cleared2026: 2 descendants clearedK904871 · Medi-Kleer · North American Marketing Corp. · 1991K974454 · Clearfield Anti-Fog Sterile Wipe, Product Number 300-004 · Tucson Medical Corp. · 1997K062779 · Defogging Heated Endoscope Lens Protector (Dhelp); Defogging Endoscope Lens Protector (Delp) · New Wave Surgical Corporation · 2006 · recalledK080613 · Clear-VU System, Models: CVL-01-1000, CVL-01-1030, CVL-01-1045 · Minimally Invasive Devices, LLC · 2008K151117 · Laparoscope Lens Shield Device · Medeon Biodesign, Inc. · 2015K160172 · Laparoscope Lens Shield Device · Medeon Biodesign, Inc. · 2016K170103 · Laparoscope Lens Shield Device (LENS) · Medeon Biodesign, Inc. · 20171990200020102020
  1. Root · 7 generations backK904871 Medi-KleerNorth American Marketing Corp. · 1991
  2. 6 generations backK974454 Clearfield Anti-Fog Sterile Wipe, Product Number 300-004Tucson Medical Corp. · 1997
  3. 5 generations backK062779 Defogging Heated Endoscope Lens Protector (Dhelp); Defogging…New Wave Surgical Corporation · 2006 · Recalled
  4. 4 generations backK080613 Clear-VU System, Models: CVL-01-1000, CVL-01-1030, CVL-01-1045Minimally Invasive Devices, LLC · 2008
  5. 3 generations backK151117 Laparoscope Lens Shield DeviceMedeon Biodesign, Inc. · 2015
  6. 2 generations backK160172 Laparoscope Lens Shield DeviceMedeon Biodesign, Inc. · 2016
  7. 1 generation backK170103 Laparoscope Lens Shield Device (LENS)Medeon Biodesign, Inc. · 2017
  8. This deviceK192891 Laparoscope Lens Shield Device (LENS)Medeon Biodesign, Inc. · 2019
  9. Descendant · cites it directly · 2 of its ownK241796 TroCare TroKit Laparoscope Lens Wiper (CP000626)TroCare, LLC · 2024
  10. Descendant · 2 generations on · 0 of its ownK253994 TroKit Laparoscope Lens WiperTroCare, LLC · 2026
  11. Descendant · 2 generations on · 0 of its ownK260089 TL-10 Laparoscopic Scope CleanerScopix, Ltd. · 2026
  12. Descendant · cites it directly · 0 of its ownK200902 ClickCleanMedeon Biodesign, Inc. · 2020

Most influential descendants

Showing 4 of 4 · See all
  • K241796TroCare TroKit Laparoscope Lens Wiper (CP000626)TroCare, LLC · 2024 · cites it directly2descendants
  • K253994TroKit Laparoscope Lens WiperTroCare, LLC · 2026 · 2 generations on0descendants
  • K260089TL-10 Laparoscopic Scope CleanerScopix, Ltd. · 2026 · 2 generations on0descendants
  • K200902ClickCleanMedeon Biodesign, Inc. · 2020 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K904871Medi-KleerNorth American Marketing Corp.1991—
−6K974454Clearfield Anti-Fog Sterile Wipe, Product Number 300-004Tucson Medical Corp.1997—
−5K062779Defogging Heated Endoscope Lens Protector (Dhelp); Defogging Endoscope Lens…New Wave Surgical Corporation20062
−4K080613Clear-VU System, Models: CVL-01-1000, CVL-01-1030, CVL-01-1045Minimally Invasive Devices, LLC2008—
−3K151117Laparoscope Lens Shield DeviceMedeon Biodesign, Inc.2015—
−2K160172Laparoscope Lens Shield DeviceMedeon Biodesign, Inc.2016—
−1K170103Laparoscope Lens Shield Device (LENS)Medeon Biodesign, Inc.2017—
0 (this device)K192891Laparoscope Lens Shield Device (LENS)Medeon Biodesign, Inc.2019—
+1K241796TroCare TroKit Laparoscope Lens Wiper (CP000626)TroCare, LLC2024—
+2K253994TroKit Laparoscope Lens WiperTroCare, LLC2026—
+2K260089TL-10 Laparoscopic Scope CleanerScopix, Ltd.2026—
+1K200902ClickCleanMedeon Biodesign, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199310
199420
199610
199820
199920
200010
200210
200410
200510
200620

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
202410
202620
FIG. 1 — Lineage of K192891, 1991–2026Source: 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 GCJ? 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 GCJ device

  1. #1 K214046 780 nm 1688 4K Camera System, 780 nm L11 LED…score 21.4 · 21 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin 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
*K170103Laparoscope Lens Shield Device (LENS)
Summary page 4
…Part 876.1500 Device Class II Classification Panel Gastroenterology/Urology 3 Predicate k number K170103 4 Device Description: The Laparoscope Lens Shield Device (LENS) is a…
Medeon Biodesign, Inc.2017—

Also cleared against K170103: 1 other device →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K241796TroCare TroKit Laparoscope Lens Wiper (CP000626)TroCare, LLC20242
K200902ClickCleanMedeon Biodesign, Inc.20200

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 28 years and passes through 5 companies; a new generation was cleared every 2.7 years on median.
  • 6 of the 22 ancestors have a recall of any class.
  • Of its descendants, K241796 (TroCare, LLC, 2024) has gone furthest, with 2 descendants of its own.
  • 1 other device also cites its predicate K170103.

How does its category compare?

All GCJ devices

GCJ Laparoscope, General & Plastic Surgery: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · GCJ

21in 2025

2007: 182008: 192009: 212010: 242011: 152012: 172013: 152014: 192015: 262016: 272017: 202018: 212019: 152020: 282021: 182022: 202023: 312024: 292025: 212026 (partial year): 26
2007high 31 (2023) · low 15 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GCJ

108in 2025

2007: 42 days median2008: 73 days median2009: 85 days median2010: 122 days median2011: 113 days median2012: 88 days median2013: 93 days median2014: 90 days median2015: 76 days median2016: 99 days median2017: 77 days median2018: 88 days median2019: 60 days median2020: 61 days median2021: 116 days median2022: 103 days median2023: 109 days median2024: 90 days median2025: 108 days median2026 (partial year): 122 days median
2007high 122 (2010) · low 42 (2007)2026

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

Recalls per year · GCJ

5in 2025

2007: 122008: 162009: 62010: 302011: 92012: 12013: 7, 1 Class I2014: 22016: 52017: 12018: 12022: 12023: 12025: 52026 (partial year): 1
2007high 30 (2010) · low 0 (2015)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · GCJ

5,860in 2025

2007: 1,6392008: 1,3192009: 1,9952010: 2,6572011: 2,1332012: 1,5262013: 1,5652014: 1,7142015: 1,7102016: 2,0802017: 3,4682018: 2,5622019: 2,5782020: 2,6182021: 3,4312022: 3,9452023: 6,0022024: 6,0472025: 5,860
2007high 6,047 (2024) · low 1,319 (2008)2025

MAUDE reports naming product code GCJ, 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
20071842121,639
20081973161,319
2009218561,995
201024122302,657
20111511392,133
2012178811,526
201315937 (1)1,565
2014199021,714
2015267601,710
2016279952,080
2017207713,468
2018218812,562
2019156002,578
2020286102,618
20211811603,431
20222010313,945
20233110916,002
2024299006,047
20252110855,860
2026261221—

What is it indicated for?

Laparoscope Lens Shield Device (LENS), a sterile, single-use and disposable laparoscopic accessory lens shield device, for various sizes of laparoscopes including standard and bariatric laparoscope, intended to maintain the intra-operative view of the surgical site during minimally invasive surgery by physically shielding the laparoscope lens from debris, grease, blood, and bodily fluids.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192891: Laparoscope Lens Shield Device (LENS).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K192891

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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