510(k) Report

510(k) · Cleared

Cleared

FUJIFILM Distal End Cap

K203028510(k) SpecialCleared Oct 30, 202028-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

Fujifilm Corporation · FDT Duodenoscope And Accessories, Flexible/Rigid

Cleared on Oct 30, 2020 as substantially equivalent to K191747 (Fujifilm Corporation, 2019) after a 28-day review. Its family tree reaches back 5 generations to 1995.

Decided
Oct 30, 2020
Review
28 days
Class
Class II
Product code
FDT
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K944759 (1995). 6 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 5 generations backK944759 200 Series Gastro-Intestinal Video SystemFujinon, Inc. · 1995 · Recalled
  2. 4 generations backK042076 Fujinon G5 Duodenscopes; G5 Duodenoscopes, ED-450XT5, ED-250XT5Fujinon, Inc. · 2004 · Recalled
  3. 3 generations backK152257 Fujifilm Duodenoscope Model ED-530XTFujifilm Medical Systems U.S.A, Inc. · 2017 · Recalled
  4. 2 generations backK181745 FUJIFILM Duodenoscope ModelFujifilm Corporation · 2019
  5. 1 generation backK191747 FUJIFILM Duodenoscope Model ED-580XTFujifilm Corporation · 2019
  6. This deviceK203028 FUJIFILM Distal End CapFujifilm Corporation · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K944759200 Series Gastro-Intestinal Video SystemFujinon, Inc.19955
−4K042076Fujinon G5 Duodenscopes; G5 Duodenoscopes, ED-450XT5, ED-250XT5Fujinon, Inc.20044
−3K152257Fujifilm Duodenoscope Model ED-530XTFujifilm Medical Systems U.S.A, Inc.20173
−2K181745FUJIFILM Duodenoscope ModelFujifilm Corporation2019—
−1K191747FUJIFILM Duodenoscope Model ED-580XTFujifilm Corporation2019—
0 (this device)K203028FUJIFILM Distal End CapFujifilm Corporation2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
FIG. 1 — Lineage of K203028, 1995–2020Source: 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 FDT? 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 FDT device

  1. #1 K251861 FUJIFILM Endoscope Model ED-S100TP; FUJIFILM…score 13.7 · 10 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
*K191747FUJIFILM Duodenoscope Model ED-580XT
Summary page 4
…exible/rigid CFR Section: 21 CFR 876.1500 Product Code: FDT Predicate Device: • FUJIFILM Distal End Cap DC-07D (K191747) Intended Use / Indications for Use This product is a single use distal end cap required to be attached to certain FUJIFILM end…
Fujifilm Corporation2019—

Also cleared against K191747: 1 other device →

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 3 companies; a new generation was cleared every 1.7 years on median.
  • 4 of the 6 ancestors have a recall of any class.
  • 1 other device also cites its predicate K191747.

How does its category compare?

All FDT devices

FDT Duodenoscope And Accessories, Flexible/Rigid: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · FDT

2in 2025

2008: 12009: 12011: 12016: 12017: 22018: 32019: 52020: 42021: 22022: 12024: 22025: 22026 (partial year): 2
2007high 5 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FDT

72in 2020

2018: 63 days median2019: 88 days median2020: 72 days median
2007high 88 (2019) · low 63 (2018)2026

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

Recalls per year · FDT

7so far in 2026, the most since 2007

2015: 12016: 12018: 12021: 12023: 32025: 12026 (partial year): 7
2007high 7 (2026) · low 0 (2007)2026

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

Adverse event reports per year · FDT

3,946in 2025

2007: 42008: 112009: 182010: 122011: 102012: 152013: 182014: 362015: 2462016: 2472017: 7912018: 4812019: 1,3472020: 8222021: 1,2702022: 2,6192023: 3,0502024: 3,0192025: 3,946
2007high 3,946 (2025) · low 4 (2007)2025

MAUDE reports naming product code FDT, 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—04
20081—011
20091—018
20100—012
20111—010
20120—015
20130—018
20140—036
20150—1246
20161—1247
20172—0791
20183631481
201958801,347
20204720822
20212—11,270
20221—02,619
20230—33,050
20242—03,019
20252—13,946
20262—7—

What is it indicated for?

This product is a single use distal end cap required to be attached to certain FUJIFILM endoscopes during clinical use to assist in providing

atraumatic passage of the endoscope tip during endoscopic procedures.

Do not use this product for any other purposes.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K203028: FUJIFILM Distal End Cap.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K203028

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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