510(k) Report

510(k) · Cleared

Cleared

EchoTip® AcuCore™ Ultrasound Biopsy Needle (ECHO-BX-3-22)

K230909510(k) TraditionalCleared May 30, 202360-day reviewClass II21 CFR 876.1075

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

Cook Ireland, Ltd. · FCG Biopsy Needle

Cleared on May 30, 2023 as substantially equivalent to K210476 (Cook Ireland, Ltd., 2021) after a 60-day review. Its family tree reaches back 12 generations to 1989. 1 of the 71 devices in its family, counting itself, has a Class I recall. 1 later device descends from it.

Decided
May 30, 2023
Review
60 days
Class
Class II
Product code
FCG
Recalls
None
Predicates
1

Its longest line of descent runs back 12 generations to K894632 (1989). 69 ancestors in all, the oldest K812810 (1981). 1 later device descends from it, 1 citing it directly. 1 of the 71 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2014: 1 other ancestor2009: 1 other ancestor2007: 1 other ancestor2002: 3 other ancestors2000: 3 other ancestors1994: 5 other ancestors2005: 1 other ancestor1999: 3 other ancestors1985: 1 other ancestor1982: 1 other ancestor1995: 4 other ancestors1993: 4 other ancestors2003: 2 other ancestors, 1 with a Class I recall11997: 9 other ancestors2001: 2 other ancestors1998: 4 other ancestors1996: 4 other ancestors1991: 2 other ancestors1990: 1 other ancestor1992: 1 other ancestor1988: 1 other ancestor1986: 1 other ancestor1981: 1 other ancestor1989: 1 other ancestor2024: 1 descendant clearedReference device: K160845 · Acquire Endoscopic Ultrasound Fine Needle Biopsy (FNB) Device · Boston Scientific Corporation · 2016K894632 · Model SSH-140A Ultrasound Imaging System · Toshiba America Medical Systems, In.C · 1989K941593 · Diagnostic Ultrasonic Transducer · Toshiba America Medical Systems, In.C · 1996K970047 · Phased Array Transducer - - PSK-20CT · Toshiba America Medical Systems, In.C · 1997K991710 · Ssa-370A/Powervision 6000 · Toshiba America Medical Systems, In.C · 1999K994096 · Sonoheart Hand-Carried Echocardiography System · Sonosite,Inc. · 1999K010591 · Olympus EU-C60 Eus Exera Compact Endoscopic Ultrasound Center · Olympus Optical Co., Ltd. · 2001 · recalledK031347 · Ultrasonic Gastrovideoscope, Type UC160P-AT8 and UCT160-AT8 · Olympus Optical Co., Ltd. · 2003K042140 · Olympus BF Type UC160-OL8 · Olympus Corporation · 2004 · recalledK050503 · Single Use Aspiration Needle NA-201SX-4022 · Olympus Medical Systems Corporation · 2005 · recalledK093195 · Echotip Ultra Endobronchial High Definition Ultasound Needle, Model: Echo-HD-22-Ebus-O · Cook Ireland, Ltd. · 2010K160229 · Echotip Ultra Endobronchial High Definition Ultrasound Needle, Echotip Procore Endobronchial High Definition Ultrasound Biopsy Needle · Cook Ireland, Ltd. · 2016K210476 · EchoTip Ultra Endoscopic Ultrasound Needle, EchoTip ProCore HD Ultrasound Biopsy Needle, EchoTip Ultra Endobronchial High Definition Ultrasound Needle, EchoTip ProCore Endobronchial High Definition Ultrasound Biopsy Needle · Cook Ireland, Ltd. · 2021 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 4 other ancestors4 generations back: 4 other ancestors5 generations back: 4 other ancestors6 generations back: 3 other ancestors7 generations back: 13 other ancestors, 1 with a Class I recall18 generations back: 14 other ancestors9 generations back: 7 other ancestors10 generations back: 4 other ancestors11 generations back: 2 other ancestors 1 generation forward: 1 descendant K210476 · EchoTip Ultra Endoscopic Ultrasound Needle, EchoTip ProCore HD Ultrasound Biopsy Needle, EchoTip Ultra Endobronchial High Definition Ultrasound Needle, EchoTip ProCore Endobronchial High Definition Ultrasound Biopsy Needle · Cook Ireland, Ltd. · 2021 · recalledK160229 · Echotip Ultra Endobronchial High Definition Ultrasound Needle, Echotip Procore Endobronchial High Definition Ultrasound Biopsy Needle · Cook Ireland, Ltd. · 2016K093195 · Echotip Ultra Endobronchial High Definition Ultasound Needle, Model: Echo-HD-22-Ebus-O · Cook Ireland, Ltd. · 2010K050503 · Single Use Aspiration Needle NA-201SX-4022 · Olympus Medical Systems Corporation · 2005 · recalledK042140 · Olympus BF Type UC160-OL8 · Olympus Corporation · 2004 · recalledK031347 · Ultrasonic Gastrovideoscope, Type UC160P-AT8 and UCT160-AT8 · Olympus Optical Co., Ltd. · 2003K010591 · Olympus EU-C60 Eus Exera Compact Endoscopic Ultrasound Center · Olympus Optical Co., Ltd. · 2001 · recalledK994096 · Sonoheart Hand-Carried Echocardiography System · Sonosite,Inc. · 1999K991710 · Ssa-370A/Powervision 6000 · Toshiba America Medical Systems, In.C · 1999K970047 · Phased Array Transducer - - PSK-20CT · Toshiba America Medical Systems, In.C · 1997K941593 · Diagnostic Ultrasonic Transducer · Toshiba America Medical Systems, In.C · 1996K894632 · Model SSH-140A Ultrasound Imaging System · Toshiba America Medical Systems, In.C · 1989−10−50
  1. Root · 12 generations backK894632 Model SSH-140A Ultrasound Imaging SystemToshiba America Medical Systems, In.C · 1989
  2. 8 generations between
  3. 3 generations backK093195 Echotip Ultra Endobronchial High Definition Ultasound Needle, Model…Cook Ireland, Ltd. · 2010
  4. 2 generations backK160229 Echotip Ultra Endobronchial High Definition Ultrasound Needle…Cook Ireland, Ltd. · 2016
  5. 1 generation backK210476 EchoTip Ultra Endoscopic Ultrasound Needle, EchoTip ProCore HD…Cook Ireland, Ltd. · 2021 · Recalled
  6. This deviceK230909 EchoTip® AcuCore™ Ultrasound Biopsy Needle (ECHO-BX-3-22)Cook Ireland, Ltd. · 2023
  7. Descendant · cites it directly · 0 of its ownK241209 EchoTip AcuCore™ EUS Biopsy Needle (ECHO-BX-19)Cook Ireland, Ltd. · 2024
Show all 12 generations
  1. Root · 12 generations backK894632 Model SSH-140A Ultrasound Imaging SystemToshiba America Medical Systems, In.C · 1989
  2. 11 generations backK941593 Diagnostic Ultrasonic TransducerToshiba America Medical Systems, In.C · 1996
  3. 10 generations backK970047 Phased Array Transducer - - PSK-20CTToshiba America Medical Systems, In.C · 1997
  4. 9 generations backK991710 Ssa-370A/Powervision 6000Toshiba America Medical Systems, In.C · 1999
  5. 8 generations backK994096 Sonoheart Hand-Carried Echocardiography SystemSonosite,Inc. · 1999
  6. 7 generations backK010591 Olympus EU-C60 Eus Exera Compact Endoscopic Ultrasound CenterOlympus Optical Co., Ltd. · 2001 · Recalled
  7. 6 generations backK031347 Ultrasonic Gastrovideoscope, Type UC160P-AT8 and UCT160-AT8Olympus Optical Co., Ltd. · 2003
  8. 5 generations backK042140 Olympus BF Type UC160-OL8Olympus Corporation · 2004 · Recalled
  9. 4 generations backK050503 Single Use Aspiration Needle NA-201SX-4022Olympus Medical Systems Corporation · 2005 · Recalled
  10. 3 generations backK093195 Echotip Ultra Endobronchial High Definition Ultasound Needle, Model…Cook Ireland, Ltd. · 2010
  11. 2 generations backK160229 Echotip Ultra Endobronchial High Definition Ultrasound Needle…Cook Ireland, Ltd. · 2016
  12. 1 generation backK210476 EchoTip Ultra Endoscopic Ultrasound Needle, EchoTip ProCore HD…Cook Ireland, Ltd. · 2021 · Recalled
  13. This deviceK230909 EchoTip® AcuCore™ Ultrasound Biopsy Needle (ECHO-BX-3-22)Cook Ireland, Ltd. · 2023

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K241209EchoTip AcuCore™ EUS Biopsy Needle (ECHO-BX-19)Cook Ireland, Ltd. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K894632Model SSH-140A Ultrasound Imaging SystemToshiba America Medical Systems, In.C1989—
−11K941593Diagnostic Ultrasonic TransducerToshiba America Medical Systems, In.C1996—
−10K970047Phased Array Transducer - - PSK-20CTToshiba America Medical Systems, In.C1997—
−9K991710Ssa-370A/Powervision 6000Toshiba America Medical Systems, In.C1999—
−8K994096Sonoheart Hand-Carried Echocardiography SystemSonosite,Inc.1999—
−7K010591Olympus EU-C60 Eus Exera Compact Endoscopic Ultrasound CenterOlympus Optical Co., Ltd.20012
−6K031347Ultrasonic Gastrovideoscope, Type UC160P-AT8 and UCT160-AT8Olympus Optical Co., Ltd.2003—
−5K042140Olympus BF Type UC160-OL8Olympus Corporation20041
−4K050503Single Use Aspiration Needle NA-201SX-4022Olympus Medical Systems Corporation20055
−3K093195Echotip Ultra Endobronchial High Definition Ultasound Needle, Model…Cook Ireland, Ltd.2010—
−2K160229Echotip Ultra Endobronchial High Definition Ultrasound Needle, Echotip Procore…Cook Ireland, Ltd.2016—
−1K210476EchoTip Ultra Endoscopic Ultrasound Needle, EchoTip ProCore HD Ultrasound…Cook Ireland, Ltd.20211
0 (this device)K230909EchoTip® AcuCore™ Ultrasound Biopsy Needle (ECHO-BX-3-22)Cook Ireland, Ltd.2023—
+1K241209EchoTip AcuCore™ EUS Biopsy Needle (ECHO-BX-19)Cook Ireland, Ltd.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198210
198510
198610
198810
198910
199010
199120
199210
199340
199450
199540
199640
199790
199840
199930
200030
200120
200230
200321
200510
200710
200910
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
FIG. 1 — Lineage of K230909, 1989–2024Source: 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.

1 device in this family has 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 FCG device

  1. #1 K250994 ClearTip FNA and FNB Typesscore 13.2 · 12 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? (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
*K210476EchoTip Ultra Endoscopic Ultrasound Needle, EchoTip ProCore HD Ultrasound Biopsy Needle…
Summary page 4
…ass: Class II Classification Panel: Gastroenterology/Urology Predicate Device: Primary Predicate: EchoTip ProCore® HD Ultrasound Biopsy Needle (K210476, Cook Ireland Ltd) Reference Device: Acquire Endoscopic Ultrasound Needle Biopsy (FNB) Device (Boston Scientific, K160845) Devi…
Cook Ireland, Ltd.20211
†K160845Acquire Endoscopic Ultrasound Fine Needle Biopsy (FNB) DeviceBoston Scientific Corporation2016—

Also cleared against K210476: 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
K241209EchoTip AcuCore™ EUS Biopsy Needle (ECHO-BX-19)Cook Ireland, Ltd.20240

Has anything in its family been recalled? (1 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.

  • K023984Modification to Olympus Bronchoscopes BF-40 Series, BF-240 Series, and BF-160 SeriesThe Olympus Optical Co. · 2003 · 7 generations back · ◆ in the 2003 ancestors bar of FIG. 114 Class I recalls

What does this lineage say?

  • The line of descent spans 34 years and passes through 6 companies; a new generation was cleared every 2.1 years on median.
  • 18 of the 69 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K241209 (Cook Ireland, Ltd., 2024) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K210476.

How does its category compare?

All FCG devices

FCG Biopsy Needle: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · FCG

2in 2025

2007: 42008: 12009: 42010: 32011: 12013: 12014: 52015: 42016: 32017: 32018: 62020: 12021: 12022: 22023: 42024: 12025: 2
2007high 6 (2018) · low 0 (2012)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FCG

82in 2023

2007: 32 days median2009: 87 days median2010: 18 days median2014: 88 days median2015: 91 days median2016: 63 days median2017: 166 days median2018: 140 days median2023: 82 days median
2007high 166 (2017) · low 18 (2010)2026

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

Recalls per year · FCG

5in 2021

2008: 192009: 52010: 42011: 22021: 5
2007high 19 (2008) · low 0 (2007)2026

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

Adverse event reports per year · FCG

632in 2025

2007: 112008: 1152009: 2702010: 732011: 712012: 1072013: 1302014: 1542015: 1242016: 1912017: 2732018: 2822019: 2292020: 2402021: 2902022: 3022023: 4282024: 4462025: 632
2007high 632 (2025) · low 11 (2007)2025

MAUDE reports naming product code FCG, 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
2007432011
20081—19115
20094875270
2010318473
20111—271
20120—0107
20131—0130
20145880154
20154910124
20163630191
201731660273
201861400282
20190—0229
20201—0240
20211—5290
20222—0302
20234820428
20241—0446
20252—0632
20260—0—

What is it indicated for?

This device is used with an ultrasound endoscope for fine needle biopsy (FNB), of submucosal and extramural lesions, mediastinal masses, lymph nodes and intraperitoneal masses within or adjacent to the GI tract.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K230909: EchoTip® AcuCore™ Ultrasound Biopsy Needle (ECHO-BX-3-22).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K230909

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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