510(k) Report

510(k) · Decided

Decided

Creo Electrosurgical System with HS1 Hemostasis Accessory

K192905510(k) TraditionalDecided Mar 19, 2020156-day reviewClass II21 CFR 876.4300

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

Creo Medical, Ltd. · KNS Unit, Electrosurgical, Endoscopic (With Or Without Accessories)

Cleared on Mar 19, 2020 as substantially equivalent to K133933 (Boston Scientific Corporation, 2014) and 2 other predicates after a 156-day review. Its family tree reaches back 6 generations to 1985.

Decided
Mar 19, 2020
Review
156 days
Class
Class II
Product code
KNS
Recalls
None
Predicates
3

Its longest line of descent runs back 6 generations to K854238 (1985). 12 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 6 generations backK854238 Needle W/Stylet for ImplantationMicrovasive · 1985
  2. 5 generations backK942301 Microvasive Injection Gold ProbeBoston Scientific Corp · 1994
  3. 4 generations backK961349 Injection Gold ProbeBoston Scientific Corp · 1996
  4. 3 generations backK110887 Injection Gold Probe Bipolar Electrohemostasis CatheterBoston Scientific Corporation · 2011
  5. 2 generations backK133933 Injection Gold Probe Bipolar Electrohemostasis CatheterBoston Scientific Corporation · 2014
  6. 1 generation backK171983 Creo Medical Electrosurgical System including Speedboat RS2 Surgical…Creo Medical, Ltd. · 2017
  7. This deviceK192905 Creo Electrosurgical System with HS1 Hemostasis AccessoryCreo Medical, Ltd. · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K854238Needle W/Stylet for ImplantationMicrovasive1985—
−5K942301Microvasive Injection Gold ProbeBoston Scientific Corp1994—
−4K961349Injection Gold ProbeBoston Scientific Corp1996—
−3K110887Injection Gold Probe Bipolar Electrohemostasis CatheterBoston Scientific Corporation2011—
−2K133933Injection Gold Probe Bipolar Electrohemostasis CatheterBoston Scientific Corporation2014—
−1K171983Creo Medical Electrosurgical System including Speedboat RS2 Surgical AccessoryCreo Medical, Ltd.2017—
0 (this device)K192905Creo Electrosurgical System with HS1 Hemostasis AccessoryCreo Medical, Ltd.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199410
200210
200610
200810
200910
FIG. 1 — Lineage of K192905, 1985–2020Source: 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 KNS? 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 KNS device

  1. #1 K241271 Aqua Medical RF Vapor Ablation Systemscore 17.2 · 20 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? (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
*K133933Injection Gold Probe Bipolar Electrohemostasis Catheter
Summary page 4
…Regulation number: 21 CFR 876.4300 Product Code: KNS 3.PREDICATE DEVICES Boston Scientific Injection Gold Probe, bipolar electrohemostasis catheter (K133933) ERBE VIO 300 D electrosurgical generator (K083452) Creo Electrosurgical System including Speedboat RS2 surgical accessory…
Boston Scientific Corporation2014—
*K083452Erbe Model Vio 300 D with Accessories
Summary page 4
…e: KNS 3.PREDICATE DEVICES Boston Scientific Injection Gold Probe, bipolar electrohemostasis catheter (K133933) ERBE VIO 300 D electrosurgical generator (K083452) Creo Electrosurgical System including Speedboat RS2 surgical accessory (RS2) (K171983) 4.ASSOCIATED FDA DOCUMENT NUMBER Q…
Erbe USA, Inc.2008—
*K171983Creo Medical Electrosurgical System including Speedboat RS2 Surgical Accessory
Summary page 4
…ectrohemostasis catheter (K133933) ERBE VIO 300 D electrosurgical generator (K083452) Creo Electrosurgical System including Speedboat RS2 surgical accessory (RS2) (K171983) 4.ASSOCIATED FDA DOCUMENT NUMBER Q182299 Traditional 510(k) Premarket Notificat…
Creo Medical, Ltd.2017—

Also cleared against K133933: 2 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 35 years and passes through 4 companies; a new generation was cleared every 3.4 years on median.
  • 1 of the 12 ancestors has a recall of any class.
  • 2 other devices also cite its predicate K133933.

How does its category compare?

All KNS devices

KNS Unit, Electrosurgical, Endoscopic (With Or Without Accessories): FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · KNS

11in 2025

2007: 12008: 32009: 32010: 42011: 12012: 22013: 22014: 12015: 32016: 32017: 32018: 52019: 72020: 42021: 42022: 32023: 92024: 32025: 112026 (partial year): 2
2007high 11 (2025) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KNS

171in 2025

2008: 61 days median2009: 212 days median2010: 168 days median2015: 252 days median2016: 30 days median2017: 48 days median2018: 62 days median2019: 66 days median2020: 212 days median2021: 139 days median2022: 182 days median2023: 83 days median2024: 198 days median2025: 171 days median
2007high 252 (2015) · low 30 (2016)2026

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

Recalls per year · KNS

14in 2024

2007: 32008: 52009: 22011: 22016: 62017: 12021: 412024: 142026 (partial year): 4
2007high 41 (2021) · low 0 (2010)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · KNS

1,504in 2025

2007: 1642008: 5872009: 1,0272010: 9082011: 8602012: 8482013: 4492014: 4052015: 4062016: 4572017: 4462018: 5632019: 6682020: 9062021: 8142022: 9132023: 9762024: 1,5332025: 1,504
2007high 1,533 (2024) · low 164 (2007)2025

MAUDE reports naming product code KNS, 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—3164
20083615587
2009321221,027
201041680908
20111—2860
20122—0848
20132—0449
20141—0405
201532520406
20163306457
20173481446
20185620563
20197660668
202042120906
2021413941814
202231820913
20239830976
20243198141,533
20251117101,504
20262—4—

What is it indicated for?

The Creo Electrosurgical Generator is intended to provide radiofrequency (RF) electrosurgical energy for cutting and microwave energy (MW) for coagulation (hemostasis, cauterization) of soft tissue, and is for use only with compatible Creo Medical instruments and accessories. The HS1 Hemostasis Accessory is indicated for use in endoscopic injection therapy (to deliver pharmacological injection agents, such as vasoconstrictors) and endoscopic…

Read the full statement (113 words)

The Creo Electrosurgical Generator is intended to provide radiofrequency (RF) electrosurgical energy for cutting and microwave energy (MW) for coagulation (hemostasis, cauterization) of soft tissue, and is for use only with compatible Creo Medical instruments and accessories.

The HS1 Hemostasis Accessory is indicated for use in endoscopic injection therapy (to deliver pharmacological injection agents, such as vasoconstrictors) and endoscopic electrohemostasis (cauterization of tissue and coagulation of blood) of actual or potential bleeding sites in the gastrointestinal tract. These sites include the following:

• Peptic Ulcers

• Dieulafoy Lesions

• Mallory-Weiss Tears

• Bleeding Polyp Stalks

• Arteriovenous Malformations (AVMs)

• Angiomata

The HS1 also has irrigation capability. Any other use is not recommended.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192905: Creo Electrosurgical System with HS1 Hemostasis Accessory.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K192905

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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