510(k) Report

510(k) · Cleared

Cleared

Disposable Hemostatic Closure Clip Device

K220157510(k) TraditionalCleared Jun 13, 2022145-day reviewClass II21 CFR 876.4400

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

Micro-Tech (Nanjing) Co., Ltd. · PKL Hemostatic Metal Clip For The Gi Tract

Cleared on Jun 13, 2022 as substantially equivalent to K101428 (Ovesco Endoscopy AG, 2010) after a 145-day review. Its family tree reaches back 5 generations to 1997.

Decided
Jun 13, 2022
Review
145 days
Class
Class II
Product code
PKL
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K963160 (1997). 7 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 5 generations backK963160 HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc. · 1997
  2. 4 generations backK990687 HX-5/6-1 Endoscopic Clipping Device, Endoscopic ClipsOlympus Optical, Co. · 1999
  3. 3 generations backK013066 HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc. · 2001 · Recalled
  4. 2 generations backK040148 Resolution Hemostasis Clipping DeviceBoston Scientific Corp · 2004 · Recalled
  5. 1 generation backK101428 Otsc (Over-the Scope-Clip) System SetOvesco Endoscopy AG · 2010
  6. This deviceK220157 Disposable Hemostatic Closure Clip DeviceMicro-Tech (Nanjing) Co., Ltd. · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K963160HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc.1997—
−4K990687HX-5/6-1 Endoscopic Clipping Device, Endoscopic ClipsOlympus Optical, Co.1999—
−3K013066HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc.20011
−2K040148Resolution Hemostasis Clipping DeviceBoston Scientific Corp20042
−1K101428Otsc (Over-the Scope-Clip) System SetOvesco Endoscopy AG2010—
0 (this device)K220157Disposable Hemostatic Closure Clip DeviceMicro-Tech (Nanjing) Co., Ltd.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200210
200510
FIG. 1 — Lineage of K220157, 1997–2022Source: 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 PKL? 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 PKL device

  1. #1 K202333 Lockado Repositionable Hemostasis Clipscore 17.5 · 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
*K101428Otsc (Over-the Scope-Clip) System Set
Summary page 5
…Page 2 of 7 4. Identification of Predicate Device 510(k) Number: K101428 Product Name: OTSCTM (over-the scope-clip) system set Manufacturer: Ovesco Endoscopy AG 5. Indications for Use…
Ovesco Endoscopy AG2010—

Also cleared against K101428: 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 5 companies; a new generation was cleared every 2.7 years on median.
  • 2 of the 7 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K101428.

How does its category compare?

All PKL devices

PKL Hemostatic Metal Clip For The Gi Tract: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · PKL

6in 2025

2010: 22012: 32013: 22014: 12015: 32016: 12017: 22018: 52019: 42020: 62021: 22022: 92023: 22024: 82025: 62026 (partial year): 7
2007high 9 (2022) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PKL

162in 2025

2012: 102 days median2015: 143 days median2018: 116 days median2019: 231 days median2020: 164 days median2022: 259 days median2024: 181 days median2025: 162 days median2026 (partial year): 231 days median
2007high 259 (2022) · low 102 (2012)2026

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

Recalls per year · PKL

1in 2019

2019: 1
2007high 1 (2019) · low 0 (2007)2026

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

Adverse event reports per year · PKL

1,170in 2025

2012: 12014: 42015: 342016: 1282017: 3982018: 3932019: 6992020: 5042021: 6682022: 5222023: 8632024: 1,2162025: 1,170
2007high 1,216 (2024) · low 0 (2007)2025

MAUDE reports naming product code PKL, 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
20102—00
20110—00
2012310201
20132—00
20141—04
20153143034
20161—0128
20172—0398
201851160393
201942311699
202061640504
20212—0668
202292590522
20232—0863
2024818101,216
2025616201,170
202672310—

What is it indicated for?

The device for flexible endoscopy and for compression of tissue in the gastrointestinal (GI) tract, for hemostasis or for treating gastrointestinal organ wall lesions, and for making of lesions. The Device is indicated for clip placement within the GI tract for the purpose of:

a .Endoscopic Marking

b. Hemostasis for:

- Mucosal/Submucosal defects < 3cm

- Bleeding Ulcers

- Arteries <2 mm

- Polyps < 1.5 cm in diameter

- Diverticula in the Colon

c. Closure of GI tract luminal perforations < 20mm that can be treated conservatively.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K220157: Disposable Hemostatic Closure Clip Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K220157

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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