510(k) Report

510(k) · Cleared

Cleared

ActivSight Intraoperative Imaging System

K231344510(k) TraditionalCleared Aug 2, 202385-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

Activ Surgical, Inc. · OWN Confocal Optical Imaging

Cleared on Aug 2, 2023 as substantially equivalent to K203550 (Activ Surgical, Inc., 2021) after an 85-day review. Its family tree reaches back 15 generations to 1994.

Decided
Aug 2, 2023
Review
85 days
Class
Class II
Product code
OWN
Recalls
None
Predicates
1

Its longest line of descent runs back 15 generations to K930667 (1994). 73 ancestors in all, the oldest K811390 (1981). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2013: 1 other ancestor1991: 3 other ancestors1999: 5 other ancestors2009: 1 other ancestor1995: 3 other ancestors2008: 1 other ancestor2006: 3 other ancestors2005: 3 other ancestors2002: 4 other ancestors2001: 6 other ancestors2007: 3 other ancestors2003: 1 other ancestor2000: 1 other ancestor1998: 3 other ancestors1997: 8 other ancestors1996: 1 other ancestor2004: 3 other ancestors1994: 3 other ancestors1993: 2 other ancestors1992: 1 other ancestor1988: 1 other ancestor1981: 1 other ancestorK930667 · 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 · recalledK101077 · DA Vinci Fluorescence Imaging Vision System, Model FF 100 · Intuitive Surgical, Inc. · 2011 · recalledK124031 · DA Vinci Fluorescence Imaging Vision System · Intuitive Surgical, Inc. · 2013K142310 · Stryker Infrared Fluorescence (IRF) Imaging System · Stryker Endoscopy · 2014K203550 · ActivSight Intraoperative Imaging System · Activ Surgical, Inc. · 202119801990200020102020
Other ancestors, by generation 3 generations back: 2 other ancestors4 generations back: 1 other ancestor5 generations back: 2 other ancestors6 generations back: 6 other ancestors7 generations back: 15 other ancestors8 generations back: 12 other ancestors9 generations back: 9 other ancestors10 generations back: 6 other ancestors11 generations back: 5 other ancestors K203550 · ActivSight Intraoperative Imaging System · Activ Surgical, Inc. · 2021K142310 · Stryker Infrared Fluorescence (IRF) Imaging System · Stryker Endoscopy · 2014K124031 · DA Vinci Fluorescence Imaging Vision System · Intuitive Surgical, Inc. · 2013K101077 · DA Vinci Fluorescence Imaging Vision System, Model FF 100 · Intuitive Surgical, Inc. · 2011 · 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 · 15 generations backK930667 Reusable Laparoscopic InstrumentsSnowden-Pencer · 1994 · Recalled
  2. 11 generations between
  3. 3 generations backK124031 DA Vinci Fluorescence Imaging Vision SystemIntuitive Surgical, Inc. · 2013
  4. 2 generations backK142310 Stryker Infrared Fluorescence (IRF) Imaging SystemStryker Endoscopy · 2014
  5. 1 generation backK203550 ActivSight Intraoperative Imaging SystemActiv Surgical, Inc. · 2021
  6. This deviceK231344 ActivSight Intraoperative Imaging SystemActiv Surgical, Inc. · 2023
Show all 15 generations
  1. Root · 15 generations backK930667 Reusable Laparoscopic InstrumentsSnowden-Pencer · 1994 · Recalled
  2. 14 generations backK960400 Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line…Snowden-Pencer · 1996
  3. 13 generations backK990144 Intuitive Surgical Endoscopic Instruments, Intuitive Surgical…Intuitive Surgical, Inc. · 2000 · Recalled
  4. 12 generations backK021036 Intuitive Surgical DA Vinci Surgical System, Model IS1000Intuitive Surgical, Inc. · 2002 · Recalled
  5. 11 generations backK040237 Intuitive Surgical DA Vinci Endoscopic Instrument Control System and…Intuitive Surgical, Inc. · 2004
  6. 10 generations backK043153 Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc. · 2004
  7. 9 generations backK050005 Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip…Intuitive Surgical, Inc. · 2005 · Recalled
  8. 8 generations backK050404 Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc. · 2005
  9. 7 generations backK050802 Modification to Intuitive Surgical DA Vinci Surgical System and…Intuitive Surgical, Inc. · 2005
  10. 6 generations backK063220 DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc. · 2006 · Recalled
  11. 5 generations backK081137 Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc. · 2009 · Recalled
  12. 4 generations backK101077 DA Vinci Fluorescence Imaging Vision System, Model FF 100Intuitive Surgical, Inc. · 2011 · Recalled
  13. 3 generations backK124031 DA Vinci Fluorescence Imaging Vision SystemIntuitive Surgical, Inc. · 2013
  14. 2 generations backK142310 Stryker Infrared Fluorescence (IRF) Imaging SystemStryker Endoscopy · 2014
  15. 1 generation backK203550 ActivSight Intraoperative Imaging SystemActiv Surgical, Inc. · 2021
  16. This deviceK231344 ActivSight Intraoperative Imaging SystemActiv Surgical, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K930667Reusable Laparoscopic InstrumentsSnowden-Pencer199415
−14K960400Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line…Snowden-Pencer1996—
−13K990144Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic…Intuitive Surgical, Inc.20003
−12K021036Intuitive Surgical DA Vinci Surgical System, Model IS1000Intuitive Surgical, Inc.200218
−11K040237Intuitive Surgical DA Vinci Endoscopic Instrument Control System and…Intuitive Surgical, Inc.2004—
−10K043153Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments, Models…Intuitive Surgical, Inc.2004—
−9K050005Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip Cover…Intuitive Surgical, Inc.20052
−8K050404Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc.2005—
−7K050802Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc.2005—
−6K063220DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc.20064
−5K081137Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc.200925
−4K101077DA Vinci Fluorescence Imaging Vision System, Model FF 100Intuitive Surgical, Inc.20112
−3K124031DA Vinci Fluorescence Imaging Vision SystemIntuitive Surgical, Inc.2013—
−2K142310Stryker Infrared Fluorescence (IRF) Imaging SystemStryker Endoscopy2014—
−1K203550ActivSight Intraoperative Imaging SystemActiv Surgical, Inc.2021—
0 (this device)K231344ActivSight Intraoperative Imaging SystemActiv Surgical, Inc.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198810
199130
199210
199320
199430
199530
199610
199780
199830
199950
200010
200160
200240
200310
200430
200530
200630
200730
200810
200910
201310
FIG. 1 — Lineage of K231344, 1994–2023Source: 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? (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
*K203550ActivSight Intraoperative Imaging System
Summary page 4
…II Product Codes: OWN C. Predicate Device Activ Surgical, Inc. ActivSight Intraoperative Imaging System, K203550 D. Device Description The ActivSight Intraoperative Imaging System (ActivSight) is an accessory to…
Activ Surgical, Inc.2021—

Also cleared against K203550: 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 29 years and passes through 4 companies; a new generation was cleared every 2.0 years on median.
  • 18 of the 73 ancestors have a recall of any class.
  • 1 other device also cites its predicate K203550.

How does its category compare?

All OWN devices

OWN Confocal Optical Imaging: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, 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 ActivSight Intraoperative Imaging System (ActivSight) is intended to provide real-time endoscopic fluorescence and

near infrared imaging. ActivSight enables surgeons to visually assess vessels, blood flow, and related tissue perfusion

using fluorescence and near infrared imaging, and at least one of the major bile ducts (cystic duct, common bile duct, or

common hepatic duct) using fluorescence, all during minimally invasive surgery.

Fluorescence imaging of biliary ducts with ActivSight is intended for use with standard of care white light, and when

indicated, intraoperative cholangiography. The device is not intended for stand-alone use for biliary duct visualization.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231344: ActivSight Intraoperative Imaging System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K231344

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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