510(k) Report

510(k) · Cleared

Cleared

EVA5 Insufflator

K230474510(k) SpecialCleared Mar 24, 202330-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

Palliare, Ltd. · FCX Insufflator, Automatic Carbon-Dioxide For Endoscope

Cleared on Mar 24, 2023 as substantially equivalent to K193520 (Palliare, Ltd., 2020) and 1 other predicate after a 30-day review. Its family tree reaches back 12 generations to 1997. 3 of the 36 devices in its family, counting itself, have a Class I recall. 1 later device descends from it.

Decided
Mar 24, 2023
Review
30 days
Class
Class II
Product code
FCX
Recalls
None
Predicates
2

Its longest line of descent runs back 12 generations to K964171 (1997). 34 ancestors in all, the oldest K903419 (1990). 1 later device descends from it, 1 citing it directly. 3 of the 36 devices in this family, counting this one, have a Class I recall.

  1. Root · 12 generations backK964171 Vasoview Balloon Dissection SystemOrigin Medsystems, Inc. · 1997
  2. 8 generations between
  3. 3 generations backK193520 EVA 15 InsufflatorPalliare, Ltd. · 2020
  4. 2 generations backK202799 EVA15Palliare, Ltd. · 2020
  5. 1 generation backK222901 EVA15 insufflatorPalliare, Ltd. · 2023
  6. This deviceK230474 EVA5 InsufflatorPalliare, Ltd. · 2023
  7. Descendant · cites it directly · 0 of its ownK262152 VS-370CF, VS-370CTVISION MEDICAL Co., Ltd. · 2026
Show all 12 generations
  1. Root · 12 generations backK964171 Vasoview Balloon Dissection SystemOrigin Medsystems, Inc. · 1997
  2. 11 generations backK981700 Vasoview Dissection/Vessel Harvesting SystemOrigin Medsystems, Inc. · 1998
  3. 10 generations backK030512 Guidant Vasoview Endoscopic Vessel Harvesting SystemGuidant Corp. · 2003 · Recalled
  4. 9 generations backK060723 40 L High Flow Insufflator F113W.O.M. World of Medicine AG · 2006
  5. 8 generations backK063367 45L Core Insufflator, Model F114W.O.M. World of Medicine AG · 2007 · Recalled
  6. 7 generations backK110294 High Flow Insufflation Unit Uhi-4Olympus Medical Systems Corporation · 2011 · Recalled (Class I)
  7. 6 generations backK122180 High Flow Insufflantion UnitOlympus Medical Systems Corporation · 2012 · Recalled (Class I)
  8. 5 generations backK143404 SurgiQuest AirSeal iFS SystemSurgiquest, Inc. · 2015 · Recalled
  9. 4 generations backK172516 SurgiQuest AIRSEAL iFS SystemConmed Corporation · 2018
  10. 3 generations backK193520 EVA 15 InsufflatorPalliare, Ltd. · 2020
  11. 2 generations backK202799 EVA15Palliare, Ltd. · 2020
  12. 1 generation backK222901 EVA15 insufflatorPalliare, Ltd. · 2023
  13. This deviceK230474 EVA5 InsufflatorPalliare, Ltd. · 2023

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K262152VS-370CF, VS-370CTVISION MEDICAL Co., Ltd. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K964171Vasoview Balloon Dissection SystemOrigin Medsystems, Inc.1997—
−11K981700Vasoview Dissection/Vessel Harvesting SystemOrigin Medsystems, Inc.1998—
−10K030512Guidant Vasoview Endoscopic Vessel Harvesting SystemGuidant Corp.20031
−9K06072340 L High Flow Insufflator F113W.O.M. World of Medicine AG2006—
−8K06336745L Core Insufflator, Model F114W.O.M. World of Medicine AG20074
−7K110294High Flow Insufflation Unit Uhi-4Olympus Medical Systems Corporation2011Class I
−6K122180High Flow Insufflantion UnitOlympus Medical Systems Corporation2012Class I
−5K143404SurgiQuest AirSeal iFS SystemSurgiquest, Inc.201511
−4K172516SurgiQuest AIRSEAL iFS SystemConmed Corporation2018—
−3K193520EVA 15 InsufflatorPalliare, Ltd.2020—
−2K202799EVA15Palliare, Ltd.2020—
−1K222901EVA15 insufflatorPalliare, Ltd.2023—
0 (this device)K230474EVA5 InsufflatorPalliare, Ltd.2023—
+1K262152VS-370CF, VS-370CTVISION MEDICAL Co., Ltd.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199120
199410
199620
199920
200010
200120
200211
200330
200410
200610
200720
200810
200910
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K230474, 1997–2026Source: 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.

3 devices in this family have a Class I recall. 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 FCX device

  1. #1 K262152 VS-370CF, VS-370CTscore 15.3 · 13 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? (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
*K193520EVA 15 Insufflator
Summary page 4
…FCX – Insufflator, Automatic Carbon-Dioxide Regulation Number: Product For Endoscope Code: K193520 – Palliare EVA15 CO2 insufflator Primary Predicate Device: 21 CFR 876…
Palliare, Ltd.2020—
*K222901EVA15 insufflator
Summary page 4
…HIF – Insufflator, Automatic Carbon-Dioxide For Regulation Number: Product Endoscope Code: K222901 – Palliare EVA15 CO2 insufflator Secondary Predicate Device: 21 CFR 8…
Palliare, Ltd.2023—

Also cleared against K193520: 1 other device →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K262152VS-370CF, VS-370CTVISION MEDICAL Co., Ltd.20260

Has anything in its family been recalled? (3 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K122180High Flow Insufflantion UnitOlympus Medical Systems Corporation · 2012 · 4 generations back · ◆ on the line of descent in FIG. 11 Class I recall
  • K110294High Flow Insufflation Unit Uhi-4Olympus Medical Systems Corporation · 2011 · 5 generations back · ◆ on the line of descent in FIG. 11 Class I recall
  • K014166Uhi-3 High Flow Insufflation UnitOlympus Optical Co., Ltd. · 2002 · 6 generations back · ◆ in the 2002 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 26 years and passes through 7 companies; a new generation was cleared every 2.3 years on median.
  • 9 of the 34 ancestors have a recall of any class; 3 have a Class I recall.
  • Of its descendants, K262152 (VISION MEDICAL Co., Ltd., 2026) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K193520.

How does its category compare?

All FCX devices

FCX Insufflator, Automatic Carbon-Dioxide For Endoscope: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · FCX

1in 2024

2007: 12009: 12011: 12012: 12013: 12014: 22016: 12018: 12019: 12020: 12021: 12023: 12024: 12026 (partial year): 1
2007high 2 (2014) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FCX

Too few FCX 510(k)s in any year since 2007 to give a median.

Recalls per year · FCX

1in 2013

2013: 1, 1 Class I
2007high 1 (2013) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · FCX

143in 2025

2007: 52008: 112009: 82010: 202011: 142012: 132013: 192014: 102015: 52016: 42017: 32018: 72019: 42020: 12021: 122022: 292023: 542024: 352025: 143
2007high 143 (2025) · low 1 (2020)2025

MAUDE reports naming product code FCX, 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
20071—05
20080—011
20091—08
20100—020
20111—014
20121—013
20131—1 (1)19
20142—010
20150—05
20161—04
20170—03
20181—07
20191—04
20201—01
20211—012
20220—029
20231—054
20241—035
20250—0143
20261—0—

What is it indicated for?

The EVA5 Insufflator is intended for use in diagnostic and/or therapeutic endoscopic procedures to distend the gastrointestinal tract by filling it with gas.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K230474: EVA5 Insufflator.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K230474

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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