510(k) Report

510(k) · Cleared

Cleared

AFS Medical Sterile Single-Use Access Port System

K202688510(k) TraditionalCleared Oct 14, 2021394-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

Afs Medical Co., Ltd. · OTJ Laparoscopic Single Port Access Device

Cleared on Oct 14, 2021 as substantially equivalent to K090275 (Applied Medical Resources Corp., 2009) and 1 other predicate after a 394-day review. Its family tree reaches back 5 generations to 1996.

Decided
Oct 14, 2021
Review
394 days
Class
Class II
Product code
OTJ
Recalls
None
Predicates
2

Its longest line of descent runs back 5 generations to K954824 (1996). 6 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 5 generations backK954824 Protector Retractor & Protector Retractor with DrapeMedical Creative Technologies, Inc. · 1996
  2. 4 generations backK962147 Dexterity Pneumo Sleeve SetMedical Creative Technologies, Inc. · 1996
  3. 3 generations backK990414 Smith & Nephew Handport SystemSmith & Nephew, Inc. · 1999
  4. 2 generations backK014047 Applied Gelport Laparoscopic Hand Access DeviceApplied Medical Resources Corp. · 2002
  5. 1 generation backK090275 Gelport Single Incision Access SystemApplied Medical Resources Corp. · 2009
  6. This deviceK202688 AFS Medical Sterile Single-Use Access Port SystemAfs Medical Co., Ltd. · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K954824Protector Retractor & Protector Retractor with DrapeMedical Creative Technologies, Inc.1996—
−4K962147Dexterity Pneumo Sleeve SetMedical Creative Technologies, Inc.1996—
−3K990414Smith & Nephew Handport SystemSmith & Nephew, Inc.1999—
−2K014047Applied Gelport Laparoscopic Hand Access DeviceApplied Medical Resources Corp.2002—
−1K090275Gelport Single Incision Access SystemApplied Medical Resources Corp.2009—
0 (this device)K202688AFS Medical Sterile Single-Use Access Port SystemAfs Medical Co., Ltd.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199910
FIG. 1 — Lineage of K202688, 1996–2021Source: 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.

Planning a device in OTJ? 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 OTJ device

  1. #1 K220081 Core-Sportscore 5.9 · 7 generations · no Class I recall
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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
*K090275Gelport Single Incision Access System
Summary page 5
…ystem Product Code(s): OTJ Subsequent Product Code GCJ Regulation Number(s): 878.1500 Primary Predicate Devices: GelPort Single Incision Access System (K090275), Secondary Predicate: GelPort Laparoscopic Hand Access Device (K014047) Reference Device: SILS™ Port, Model…
Applied Medical Resources Corp.2009—
*K014047Applied Gelport Laparoscopic Hand Access Device
Summary page 5
…(s): 878.1500 Primary Predicate Devices: GelPort Single Incision Access System (K090275), Secondary Predicate: GelPort Laparoscopic Hand Access Device (K014047) Reference Device: SILS™ Port, Model SILSPTT112A, K103253 Reference Device: OBP ONETRAC LX Illuminated Retr…
Applied Medical Resources Corp.2002—
†K103253Sils PortCoviden (Formerly Registered AS US Surgical, A Div2011—
†K110792Gelpoint PathApplied Medical Resources Corp.2011—

Also cleared against K090275: 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 25 years and passes through 4 companies; a new generation was cleared every 2.9 years on median.
  • None of the 6 ancestors has a recall.
  • 2 other devices also cite its predicate K090275.

How does its category compare?

All OTJ devices

OTJ Laparoscopic Single Port Access Device: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · OTJ

1in 2024

2010: 12011: 22012: 32016: 22021: 12022: 12024: 1
2007high 3 (2012) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OTJ

130in 2012

2012: 130 days median
2007high 130 (2012)2026

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

Recalls per year · OTJ

No recall names OTJ since 2007.

Adverse event reports per year · OTJ

1in 2023

2011: 22012: 122015: 12019: 12020: 12023: 1
2007high 12 (2012) · low 0 (2007)2025

MAUDE reports naming product code OTJ, 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
20070—00
20080—00
20090—00
20101—00
20112—02
20123130012
20130—00
20140—00
20150—01
20162—00
20170—00
20180—00
20190—01
20200—01
20211—00
20221—00
20230—01
20241—00
20250—00
20260—0—

What is it indicated for?

The AFS MEDICAL’s Sterile Single-Use Access Port System for surgery is a manual device designed to access the peritoneal cavity during laparoscopic surgery minimally invasive surgery. Examples of procedures where the device may be used include colorectal, urological, and general surgery to access the surgical site

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K202688: AFS Medical Sterile Single-Use Access Port System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K202688

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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