510(k) Report

510(k) · Cleared

Cleared

Electrosurgical accessory

K210394510(k) TraditionalCleared May 19, 202198-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

Dornier Medtech America, Inc. · FAS Electrode, Electrosurgical, Active, Urological

Cleared on May 19, 2021 as substantially equivalent to K171965 (Olympus Winter & Ibe GmbH, 2017) after a 98-day review. Its family tree reaches back 7 generations to 1991.

Decided
May 19, 2021
Review
98 days
Class
Class II
Product code
FAS
Recalls
None
Predicates
1

Its longest line of descent runs back 7 generations to K911904 (1991). 24 ancestors in all, the oldest K897003 (1990). No later device cites it as a predicate yet.

  1. Root · 7 generations backK911904 Models Ues-10 & PSD-10Olympus Corp. · 1991
  2. 6 generations backK970184 Olympus Ues-20 Electrosurgical System and Its Associated AccessoriesOlympus America, Inc. · 1997
  3. 5 generations backK023767 Ues-30 Electrosurgical Unit and It's Associated AccessoriesThe Olympus Optical Co. · 2002
  4. 4 generations backK030194 Xues-41 Endoscopic Electrosurgical UnitThe Olympus Optical Co. · 2003 · Recalled
  5. 3 generations backK100275 Working Element, Resection Button Electrode for Plasma Vaporizaton…Olympus Winter & Ibe GmbH · 2010 · Recalled
  6. 2 generations backK152092 Resection ElectrodesOlympus Winter & Ibe GmbH · 2015 · Recalled
  7. 1 generation backK171965 Resection Electrodes with HF cableOlympus Winter & Ibe GmbH · 2017 · Recalled
  8. This deviceK210394 Electrosurgical accessoryDornier Medtech America, Inc. · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K911904Models Ues-10 & PSD-10Olympus Corp.1991—
−6K970184Olympus Ues-20 Electrosurgical System and Its Associated AccessoriesOlympus America, Inc.1997—
−5K023767Ues-30 Electrosurgical Unit and It's Associated AccessoriesThe Olympus Optical Co.2002—
−4K030194Xues-41 Endoscopic Electrosurgical UnitThe Olympus Optical Co.20033
−3K100275Working Element, Resection Button Electrode for Plasma Vaporizaton…Olympus Winter & Ibe GmbH20101
−2K152092Resection ElectrodesOlympus Winter & Ibe GmbH20151
−1K171965Resection Electrodes with HF cableOlympus Winter & Ibe GmbH20171
0 (this device)K210394Electrosurgical accessoryDornier Medtech America, Inc.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199020
199430
199610
199720
199810
199940
200030
200310
FIG. 1 — Lineage of K210394, 1991–2021Source: 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 FAS? 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 FAS device

  1. #1 K250522 Multi4 Systemscore 11.4 · 7 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
*K171965Resection Electrodes with HF cable
Summary page 4
…umber: 21 CFR 876.4300 Regulatory Class: II Product Code: FAS Predicate Device Olympus Resection Electrodes with HF cable (K171965) Purpose of the 510(k) Notice The purpose of this submission is to obtain marketing clearance for the Dornier Bipolar Cable…
Olympus Winter & Ibe GmbH20171

Also cleared against K171965: 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 30 years and passes through 5 companies; a new generation was cleared every 5.3 years on median.
  • 6 of the 24 ancestors have a recall of any class.
  • 1 other device also cites its predicate K171965.

How does its category compare?

All FAS devices

FAS Electrode, Electrosurgical, Active, Urological: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · FAS

2in 2025

2010: 32011: 12012: 22015: 12016: 12017: 22021: 22022: 12024: 12025: 2
2007high 3 (2010) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FAS

150in 2010

2010: 150 days median
2007high 150 (2010)2026

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

Recalls per year · FAS

1in 2023

2016: 22021: 42023: 1
2007high 4 (2021) · low 0 (2007)2026

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

Adverse event reports per year · FAS

395in 2025

2007: 62008: 132009: 92010: 252011: 332012: 302013: 482014: 522015: 822016: 692017: 1212018: 702019: 612020: 1002021: 1022022: 1472023: 3292024: 3102025: 395
2007high 395 (2025) · low 6 (2007)2025

MAUDE reports naming product code FAS, 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—06
20080—013
20090—09
20103150025
20111—033
20122—030
20130—048
20140—052
20151—082
20161—269
20172—0121
20180—070
20190—061
20200—0100
20212—4102
20221—0147
20230—1329
20241—0310
20252—0395
20260—0—

What is it indicated for?

The Dornier Bipolar Cable is indicated to be used with a compatible electrosurgical generator and an HF electrode for endoscopic treatment in urological applications: Cutting, ablation, resection, vaporization and coagulation with HF current

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K210394: Electrosurgical accessory.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K210394

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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