510(k) Report

510(k) · Cleared

Cleared

KARL STORZ ICG Imaging System

K212695510(k) TraditionalCleared Nov 15, 202182-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

Karl Storz Endoscopy America · OWN Confocal Optical Imaging

Cleared on Nov 15, 2021 as substantially equivalent to K202925 (Karl Storz Endoscopy_America, Inc., 2020) and 1 other predicate after an 82-day review. Its family tree reaches back 19 generations to 1994. 5 later devices descend from it.

Decided
Nov 15, 2021
Review
82 days
Class
Class II
Product code
OWN
Recalls
None
Predicates
2

Its longest line of descent runs back 19 generations to K930667 (1994). 112 ancestors in all, the oldest K811390 (1981). 5 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2018: 1 other ancestor2020: 1 other ancestor2017: 2 other ancestors2002: 5 other ancestors2016: 1 other ancestor2015: 2 other ancestors2014: 2 other ancestors2013: 4 other ancestors2009: 1 other ancestor2011: 1 other ancestor2008: 4 other ancestors2007: 3 other ancestors2006: 5 other ancestors2001: 6 other ancestors1998: 4 other ancestors1991: 4 other ancestors2005: 4 other ancestors2003: 2 other ancestors2000: 2 other ancestors1999: 7 other ancestors1997: 11 other ancestors1996: 2 other ancestors2004: 4 other ancestors1995: 5 other ancestors1994: 4 other ancestors1993: 2 other ancestors1992: 2 other ancestors1988: 1 other ancestor1981: 1 other ancestor2023: 2 descendants cleared2026: 3 descendants clearedReference device: K201526 · TIPCAM1 Rubina Video Endoscope System · Karl Storz Endoscopy America · 2020K930667 · Reusable Laparoscopic Instruments · Snowden-Pencer · 1994 · recalledK960400 · Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line Instruments/Diamond-Port (Access Parts) · Snowden-Pencer · 1996K990144 · Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic Instrument Control System · Intuitive Surgical, Inc. · 2000 · recalledK021036 · Intuitive Surgical DA Vinci Surgical System, Model IS1000 · Intuitive Surgical, Inc. · 2002 · recalled×5: 5 generations cleared close together, K040237 (2004), K043153 (2004), K050005 (2005), K050404 (2005), K050802 (2005) K063220 · DA Vinci S Surgical System-V1.1, Model IS2000 · Intuitive Surgical, Inc. · 2006 · recalledK081137 · Intuitive Surgical DA Vinci SI Surgical System: Model IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK090993 · Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200, IS2000 and IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK123463 · Intuitive Surgical DA Vinci SI Surgical System Smartpedals · Intuitive Surgical, Inc. · 2012 · recalled×2: 2 generations cleared close together, K131861 (2014), K141077 (2014) ×2: 2 generations cleared close together, K150956 (2016), K161792 (2016) K182606 · PINPOINT Endoscopic Fluorescence Imaging System · Novadaq Technologies Ulc. (Now A Part of Stryker) · 2018K202925 · KARL STORZ ICG Imaging System · Karl Storz Endoscopy_America, Inc. · 202019801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 4 other ancestors3 generations back: 2 other ancestors4 generations back: 7 other ancestors5 generations back: 13 other ancestors6 generations back: 15 other ancestors7 generations back: 19 other ancestors8 generations back: 11 other ancestors9 generations back: 13 other ancestors10 generations back: 5 other ancestors11 generations back: 3 other ancestors 1 generation forward: 3 descendants2 generations forward: 2 descendants K202925 · KARL STORZ ICG Imaging System · Karl Storz Endoscopy_America, Inc. · 2020K182606 · PINPOINT Endoscopic Fluorescence Imaging System · Novadaq Technologies Ulc. (Now A Part of Stryker) · 2018K161792 · PINPOINT Endoscopic Fluorescence Imaging System · Novadaq Technologies, Inc. · 2016K150956 · PINPOINT Endoscopic Fluorescence Imaging System · Novadaq Technologies, Inc. · 2016 · recalledK141077 · DA Vinci Firefly Imaging System · Intuitive Surgical, Inc. · 2014 · recalledK131861 · DA Vinci Surgical System, Endowrist Instruments and Accessories · Intuitive Surgical, Inc. · 2014 · recalledK123463 · Intuitive Surgical DA Vinci SI Surgical System Smartpedals · Intuitive Surgical, Inc. · 2012 · recalledK090993 · Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200, IS2000 and IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK081137 · Intuitive Surgical DA Vinci SI Surgical System: Model IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK063220 · DA Vinci S Surgical System-V1.1, Model IS2000 · Intuitive Surgical, Inc. · 2006 · recalledK050802 · Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments · Intuitive Surgical, Inc. · 2005K050404 · Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments · Intuitive Surgical, Inc. · 2005K050005 · Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip Cover Accessory, Model 400180 · Intuitive Surgical, Inc. · 2005 · recalledK043153 · Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments, Models IS1200 & IS1000 · Intuitive Surgical, Inc. · 2004K040237 · Intuitive Surgical DA Vinci Endoscopic Instrument Control System and Endoscopic Instruments · Intuitive Surgical, Inc. · 2004K021036 · Intuitive Surgical DA Vinci Surgical System, Model IS1000 · Intuitive Surgical, Inc. · 2002 · recalledK990144 · Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic Instrument Control System · Intuitive Surgical, Inc. · 2000 · recalledK960400 · Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line Instruments/Diamond-Port (Access Parts) · Snowden-Pencer · 1996K930667 · Reusable Laparoscopic Instruments · Snowden-Pencer · 1994 · recalled−15−10−50
  1. Root · 19 generations backK930667 Reusable Laparoscopic InstrumentsSnowden-Pencer · 1994 · Recalled
  2. 15 generations between
  3. 3 generations backK161792 PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc. · 2016
  4. 2 generations backK182606 PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2018
  5. 1 generation backK202925 KARL STORZ ICG Imaging SystemKarl Storz Endoscopy_America, Inc. · 2020
  6. This deviceK212695 KARL STORZ ICG Imaging SystemKarl Storz Endoscopy America · 2021
  7. Descendant · cites it directly · 2 of its ownK233333 KARL STORZ ICG Imaging System, KARL STORZ Image1S Camera Control UnitKarl Storz SE & CO. KG · 2023
  8. Descendant · cites it directly · 0 of its ownK262547 KARL STORZ TIPCAM1 RubinaKALR STORZ SE & Co. KG · 2026
  9. Descendant · 2 generations on · 0 of its ownK254242 KARL STORZ ICG Imaging System with RUBINA® LensKarl Storz SE & CO. KG · 2026
  10. Descendant · 2 generations on · 0 of its ownK253972 IMAGE1 (TC400US); X-to-4U Adapter (TC040)Karl Storz SE & CO. KG · 2026
  11. Descendant · cites it directly · 0 of its ownK232857 KARL STORZ ICG Imaging SystemKarl Storz SE & CO. KG · 2023
Show all 19 generations
  1. Root · 19 generations backK930667 Reusable Laparoscopic InstrumentsSnowden-Pencer · 1994 · Recalled
  2. 18 generations backK960400 Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line…Snowden-Pencer · 1996
  3. 17 generations backK990144 Intuitive Surgical Endoscopic Instruments, Intuitive Surgical…Intuitive Surgical, Inc. · 2000 · Recalled
  4. 16 generations backK021036 Intuitive Surgical DA Vinci Surgical System, Model IS1000Intuitive Surgical, Inc. · 2002 · Recalled
  5. 15 generations backK040237 Intuitive Surgical DA Vinci Endoscopic Instrument Control System and…Intuitive Surgical, Inc. · 2004
  6. 14 generations backK043153 Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc. · 2004
  7. 13 generations backK050005 Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip…Intuitive Surgical, Inc. · 2005 · Recalled
  8. 12 generations backK050404 Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc. · 2005
  9. 11 generations backK050802 Modification to Intuitive Surgical DA Vinci Surgical System and…Intuitive Surgical, Inc. · 2005
  10. 10 generations backK063220 DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc. · 2006 · Recalled
  11. 9 generations backK081137 Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc. · 2009 · Recalled
  12. 8 generations backK090993 Intuitive Surgical Endoscopic Instrument Control Systems, Models…Intuitive Surgical, Inc. · 2009 · Recalled
  13. 7 generations backK123463 Intuitive Surgical DA Vinci SI Surgical System SmartpedalsIntuitive Surgical, Inc. · 2012 · Recalled
  14. 6 generations backK131861 DA Vinci Surgical System, Endowrist Instruments and AccessoriesIntuitive Surgical, Inc. · 2014 · Recalled
  15. 5 generations backK141077 DA Vinci Firefly Imaging SystemIntuitive Surgical, Inc. · 2014 · Recalled
  16. 4 generations backK150956 PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc. · 2016 · Recalled
  17. 3 generations backK161792 PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc. · 2016
  18. 2 generations backK182606 PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2018
  19. 1 generation backK202925 KARL STORZ ICG Imaging SystemKarl Storz Endoscopy_America, Inc. · 2020
  20. This deviceK212695 KARL STORZ ICG Imaging SystemKarl Storz Endoscopy America · 2021

Most influential descendants

Showing 5 of 5 · See all
  • K233333KARL STORZ ICG Imaging System, KARL STORZ Image1S Camera Control UnitKarl Storz SE & CO. KG · 2023 · cites it directly2descendants
  • K262547KARL STORZ TIPCAM1 RubinaKALR STORZ SE & Co. KG · 2026 · cites it directly0descendants
  • K254242KARL STORZ ICG Imaging System with RUBINA® LensKarl Storz SE & CO. KG · 2026 · 2 generations on0descendants
  • K253972IMAGE1 (TC400US); X-to-4U Adapter (TC040)Karl Storz SE & CO. KG · 2026 · 2 generations on0descendants
  • K232857KARL STORZ ICG Imaging SystemKarl Storz SE & CO. KG · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−19K930667Reusable Laparoscopic InstrumentsSnowden-Pencer199415
−18K960400Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line…Snowden-Pencer1996—
−17K990144Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic…Intuitive Surgical, Inc.20003
−16K021036Intuitive Surgical DA Vinci Surgical System, Model IS1000Intuitive Surgical, Inc.200218
−15K040237Intuitive Surgical DA Vinci Endoscopic Instrument Control System and…Intuitive Surgical, Inc.2004—
−14K043153Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments, Models…Intuitive Surgical, Inc.2004—
−13K050005Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip Cover…Intuitive Surgical, Inc.20052
−12K050404Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc.2005—
−11K050802Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc.2005—
−10K063220DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc.20064
−9K081137Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc.200925
−8K090993Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200…Intuitive Surgical, Inc.20093
−7K123463Intuitive Surgical DA Vinci SI Surgical System SmartpedalsIntuitive Surgical, Inc.20122
−6K131861DA Vinci Surgical System, Endowrist Instruments and AccessoriesIntuitive Surgical, Inc.201480
−5K141077DA Vinci Firefly Imaging SystemIntuitive Surgical, Inc.20142
−4K150956PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc.20161
−3K161792PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc.2016—
−2K182606PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies Ulc. (Now A Part of Stryker)2018—
−1K202925KARL STORZ ICG Imaging SystemKarl Storz Endoscopy_America, Inc.2020—
0 (this device)K212695KARL STORZ ICG Imaging SystemKarl Storz Endoscopy America2021—
+1K233333KARL STORZ ICG Imaging System, KARL STORZ Image1S Camera Control UnitKarl Storz SE & CO. KG2023—
+1K262547KARL STORZ TIPCAM1 RubinaKALR STORZ SE & Co. KG2026—
+2K254242KARL STORZ ICG Imaging System with RUBINA® LensKarl Storz SE & CO. KG2026—
+2K253972IMAGE1 (TC400US); X-to-4U Adapter (TC040)Karl Storz SE & CO. KG2026—
+1K232857KARL STORZ ICG Imaging SystemKarl Storz SE & CO. KG2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198810
199140
199220
199320
199440
199550
199620
1997110
199840
199970
200020
200160
200250
200320
200440
200540
200650
200730
200840
200910
201110
201340
201420
201520
201610
201720
201810
202010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202320
202630
FIG. 1 — Lineage of K212695, 1994–2026Source: 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 OWN? 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 OWN device

  1. #1 K231854 1788 4K Camera System with Advanced Imaging…score 24.9 · 24 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

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
*K202925KARL STORZ ICG Imaging System
Summary page 4
…OWN, GWG Guidance Document: Not Applicable Predicate Device: Primary predicate device KARL STORZ ICG Imaging System (K202925). Secondary predicate device: KARL STORZ ICG Imaging System (K180146). Reference device: TIPCAM1 Rubina…
Karl Storz Endoscopy_America, Inc.2020—
*K180146KARL STORZ ICG Imaging System
Summary page 4
…predicate device KARL STORZ ICG Imaging System (K202925). Secondary predicate device: KARL STORZ ICG Imaging System (K180146). Reference device: TIPCAM1 Rubina Video Endoscope System (K201526) Device Description: The modif…
Karl Storz Endoscopy America, Inc.2018—
†K201526TIPCAM1 Rubina Video Endoscope SystemKarl Storz Endoscopy America2020—

Also cleared against K202925: 1 other device →

What descends from it? (5)

3 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K233333KARL STORZ ICG Imaging System, KARL STORZ Image1S Camera Control UnitKarl Storz SE & CO. KG20232
K262547KARL STORZ TIPCAM1 RubinaKALR STORZ SE & Co. KG20260
K232857KARL STORZ ICG Imaging SystemKarl Storz SE & CO. KG20230

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 27 years and passes through 6 companies; a new generation was cleared every 1.4 years on median.
  • 28 of the 112 ancestors have a recall of any class.
  • Of its descendants, K233333 (Karl Storz SE & CO. KG, 2023) has gone furthest, with 2 descendants of its own.
  • 1 other device also cites its predicate K202925.

How does its category compare?

All OWN devices

OWN Confocal Optical Imaging: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · OWN

3in 2025

2011: 12012: 32013: 22014: 52015: 52016: 22017: 52018: 12019: 72020: 72021: 42022: 42023: 62024: 12025: 32026 (partial year): 7
2007high 7 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OWN

196in 2025

2012: 87 days median2014: 208 days median2015: 163 days median2017: 87 days median2019: 81 days median2020: 81 days median2021: 104 days median2022: 41 days median2023: 69 days median2025: 196 days median2026 (partial year): 63 days median
2007high 208 (2014) · low 41 (2022)2026

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

Recalls per year · OWN

1in 2024

2022: 32024: 1
2007high 3 (2022) · low 0 (2007)2026

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

Adverse event reports per year · OWN

197in 2025

2015: 12016: 42017: 122018: 112019: 592020: 1052021: 3122022: 3462023: 1642024: 1652025: 197
2007high 346 (2022) · low 0 (2007)2025

MAUDE reports naming product code OWN, 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
20100—00
20111—00
201238700
20132—00
2014520800
2015516301
20162—04
2017587012
20181—011
2019781059
20207810105
202141040312
20224413346
20236690164
20241—1165
202531960197
20267630—

What is it indicated for?

The KARL STORZ ICG Imaging System is intended to provide real-time visible (VIS) and near-infrared (NIR) fluorescence imaging. Upon intravenous administration and use of ICG consistent with its approved label, the KARL STORZ Endoscopic ICG System enables surgeons to perform minimally invasive surgery using standard endoscopic visible light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major…

Read the full statement (284 words)

The KARL STORZ ICG Imaging System is intended to provide real-time visible (VIS) and near-infrared (NIR) fluorescence imaging.

Upon intravenous administration and use of ICG consistent with its approved label, the KARL STORZ Endoscopic ICG System enables surgeons to perform minimally invasive surgery using standard endoscopic visible light as well as visual assessment of vessels, blood flow and related tissue perfusion, and at least one of the major extra-hepatic bile ducts (cystic duct, common bile duct and common hepatic duct), using near infrared imaging. Fluorescence imaging of biliary ducts with the KARL STORZ Endoscopic ICG System is intended for use with standard of care white light and, when indicated, intraoperative cholangiography. The device is not intended for standalone use for biliary duct visualization.

Additionally, the KARL STORZ Endoscopic ICG System enables surgeon to perform minimally invasive cranial neurosurgery in adults and pediatrics and endonasal skull base surgery in adults and pediatrics > 6 years of age using standard endoscopic visible light as well as visual assessment of vessels, blood flow and related tissue perfusion using near infrared imaging.

The KARL STORZ VITOM II ICG System is intended for capturing and viewing fluorescent images for the visual assessment of blood flow, as an adjunctive method for the evaluation of tissue perfusion, and related tissue-transfer circulation in tissue and free flaps used in plastic, micro- and reconstructive surgical procedures. The VITOM II ICG System is intended to provide a magnified view of the surgical field in standard white light.

Upon interstitial administration and use of ICG consistent with its approved label, the KARL STORZ Endoscopic ICG System is used to perform intraoperative fluorescence imaging and visualization of the lymphatic system, including lymphatic vessels and lymph nodes.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K212695: KARL STORZ ICG Imaging System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K212695

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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