510(k) Report

510(k) · Cleared

Cleared

Instrument tray, for semi-rigid ureteroscope

K203492510(k) TraditionalCleared Sep 15, 2021300-day reviewClass II21 CFR 880.6850

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

Olympus Winter & Ibe GmbH · KCT Sterilization Wrap Containers, Trays, Cassettes & Other Accessories

Cleared on Sep 15, 2021 as substantially equivalent to K171692 (Olympus Winter & Ibe GmbH, 2018) after a 300-day review. Its family tree reaches back 6 generations to 1984.

Decided
Sep 15, 2021
Review
300 days
Class
Class II
Product code
KCT
Recalls
None
Predicates
1

Its longest line of descent runs back 6 generations to K844002 (1984). 8 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 6 generations backK844002 HU-Friedy Ims Cassette SystemHu-Friedy Mfg. Co., Inc. · 1984
  2. 5 generations backK980065 C/T Med-Systems Cassette SystemC/T Med System, Ltd. · 1998
  3. 4 generations backK990761 Tuttnauer Mini Container Cassette, Tuttnauer Standard Case CassetteTuttnauer U.S.A Co, Ltd. · 1999
  4. 3 generations backK012105 Polyvac Surgical Instrument Delivery SystemSymmetry Medical, Inc. · 2002
  5. 2 generations backK033222 Olympus Sterilization TraysOlympus Winter & Ibe GmbH · 2004
  6. 1 generation backK171692 Instrument basket, for EndoEYEOlympus Winter & Ibe GmbH · 2018
  7. This deviceK203492 Instrument tray, for semi-rigid ureteroscopeOlympus Winter & Ibe GmbH · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K844002HU-Friedy Ims Cassette SystemHu-Friedy Mfg. Co., Inc.1984—
−5K980065C/T Med-Systems Cassette SystemC/T Med System, Ltd.1998—
−4K990761Tuttnauer Mini Container Cassette, Tuttnauer Standard Case CassetteTuttnauer U.S.A Co, Ltd.1999—
−3K012105Polyvac Surgical Instrument Delivery SystemSymmetry Medical, Inc.2002—
−2K033222Olympus Sterilization TraysOlympus Winter & Ibe GmbH2004—
−1K171692Instrument basket, for EndoEYEOlympus Winter & Ibe GmbH2018—
0 (this device)K203492Instrument tray, for semi-rigid ureteroscopeOlympus Winter & Ibe GmbH2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199710
FIG. 1 — Lineage of K203492, 1984–2021Source: 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 KCT? 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 KCT device

  1. #1 K214041 Aesculap AICON Containerscore 18.1 · 6 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
*K171692Instrument basket, for EndoEYE
Summary page 5
…; class II 2.3 Predicate Device The applicant device, Instrument tray, for semi-rigid ureteroscope, is considered substantially equivalent to legally marketed device of K171692, KCT, 21CFR 880.6850: Instrument basket, for ENDOEYE No reference devices were used in this submission.…
Olympus Winter & Ibe GmbH2018—

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 37 years and passes through 5 companies; a new generation was cleared every 3.5 years on median.
  • None of the 8 ancestors has a recall.

How does its category compare?

All KCT devices

KCT Sterilization Wrap Containers, Trays, Cassettes & Other Accessories: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · KCT

11in 2025

2007: 32008: 62009: 62010: 122011: 62012: 102013: 82014: 112015: 152016: 122017: 102018: 152019: 182020: 142021: 182022: 112023: 102024: 82025: 112026 (partial year): 9
2007high 18 (2019) · low 3 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KCT

205in 2025

2007: 199 days median2008: 182 days median2009: 89 days median2010: 202 days median2011: 117 days median2012: 236 days median2013: 131 days median2014: 169 days median2015: 151 days median2016: 182 days median2017: 211 days median2018: 192 days median2019: 187 days median2020: 134 days median2021: 185 days median2022: 137 days median2023: 94 days median2024: 106 days median2025: 205 days median2026 (partial year): 122 days median
2007high 236 (2012) · low 89 (2009)2026

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

Recalls per year · KCT

17in 2022

2010: 12011: 22013: 12014: 12016: 32017: 12021: 12022: 17
2007high 17 (2022) · low 0 (2007)2026

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

Adverse event reports per year · KCT

50in 2025

2007: 22008: 82009: 52010: 32011: 32012: 22013: 62014: 52015: 62016: 162017: 32018: 222019: 152020: 662021: 262022: 82023: 302024: 182025: 50
2007high 66 (2020) · low 2 (2007)2025

MAUDE reports naming product code KCT, 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
2007319902
2008618208
200968905
20101220213
2011611723
20121023602
2013813116
20141116915
20151515106
201612182316
20171021113
201815192022
201918187015
202014134066
202118185126
202211137178
20231094030
20248106018
202511205050
202691220—

What is it indicated for?

The instrument tray is intended to be used to enclose and protect one Olympus semi-rigid ureteroscope, models WA2UR11A, WA2UR12A, WA2UR13A, WA2UR14A, WA2UR21A, WA2UR22A, WA2UR23A WA2UR31A, and WA2UR32A (K200369), and accessories during sterilization in a prevacuum steam sterilizer using the following parameters or cycles: Prevacuum steam sterilization - Exposure time at a temperature of 132 °C (269.6 °F:) Wrapped instruments…

Read the full statement (191 words)

The instrument tray is intended to be used to enclose and protect one Olympus semi-rigid ureteroscope, models WA2UR11A, WA2UR12A, WA2UR13A, WA2UR14A, WA2UR21A, WA2UR22A, WA2UR23A WA2UR31A, and WA2UR32A (K200369), and accessories during sterilization in a prevacuum steam sterilizer using the following parameters or cycles:

Prevacuum steam sterilization

- Exposure time at a temperature of 132 °C (269.6 °F:)

Wrapped instruments ....................................4 min.

Unwrapped non-porous instruments .............3 min.

- Exposure time at a temperature of 135 °C (275 °F:)

Wrapped instruments ....................................3 min.

Unwrapped non-porous instruments ............3 min.

- Drying time................................................30 min.

After steam sterilization, let the instrument tray cool down at room temperature.

- Cool-down time..........................................30 min.

The instrument tray is also intended for the enclosure of Olympus semi-rigid ureteroscopes and accessories during transport and storage within the reprocessing cycle. The instrument tray is not compatible with flexible ureteroscopes.

The instrument tray is to be used in conjunction with a FDA cleared sterilization wrap. Maintenance of sterility depends on the sterilization wrap.

Worst case load:

The instrument tray containing a ureteroscope, attachments, light-guide cable, light-guide cable adapters, sealing caps and stopcocks must not exceed a weight of 3300 grams (7.27 lb) altogether.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K203492: Instrument tray, for semi-rigid ureteroscope.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K203492

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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