510(k) Report

510(k) · Cleared

Cleared

Apollo ESG NXT System, Apollo REVISE NXT System

K232544510(k) SpecialCleared Sep 18, 202327-day reviewClass II21 CFR 876.5983

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

Apollo Endosurgery, Inc. · QTD Endoscopic Suturing Device For Altering Gastric Anatomy For Weight Loss

Cleared on Sep 18, 2023 as substantially equivalent to DEN210045 (Apollo Endosurgery, Inc., 2022) after a 27-day review. Its family tree reaches back 1 generation to 2022.

Decided
Sep 18, 2023
Review
27 days
Class
Class II
Product code
QTD
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to DEN210045 (2022). No later device cites it as a predicate yet.

  1. Root · 1 generation backDEN210045 APOLLO ESG System, APOLLO ESG SX System, APOLLO REVISE System…Apollo Endosurgery, Inc. · 2022
  2. This deviceK232544 Apollo ESG NXT System, Apollo REVISE NXT SystemApollo Endosurgery, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1DEN210045APOLLO ESG System, APOLLO ESG SX System, APOLLO REVISE System, APOLLO REVISE…Apollo Endosurgery, Inc.2022—
0 (this device)K232544Apollo ESG NXT System, Apollo REVISE NXT SystemApollo Endosurgery, Inc.2023—
FIG. 1 — Lineage of K232544, 2022–2023Source: 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.

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  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin 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
*DEN210045APOLLO ESG System, APOLLO ESG SX System, APOLLO REVISE System, APOLLO REVISE SX System
Summary page 5
…(21 CFR 876.5983) Classification Name Endoscopic suturing device for altering gastric anatomy for weight loss Predicate Devices: DEN210045 –Apollo ESG Sx System, Apollo Revise Sx System Device Description These devices are used to perform gastric remodelling t…
Apollo Endosurgery, Inc.2022—

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?

  • Its one ancestor has no recall.

How does its category compare?

All QTD devices

QTD Endoscopic Suturing Device For Altering Gastric Anatomy For Weight Loss: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · QTD

1in 2023

2022: 12023: 1
2007high 1 (2022) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QTD

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

Recalls per year · QTD

No recall names QTD since 2007.

Adverse event reports per year · QTD

1in 2025

2024: 12025: 1
2007high 1 (2024) · low 0 (2007)2025

MAUDE reports naming product code QTD, 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
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20221—00
20231—00
20240—01
20250—01
20260—0—

What is it indicated for?

The Apollo ESG NXT System is intended to be used by trained gastroenterologists or surgeons that perform bariatric procedures to facilitate weight loss by reducing stomach volume through endoscopic sleeve gastroplasty in adult patients with obesity with BMI between 30-50 kg/m2 who have not been able to lose weight, or maintain weight loss, through more conservative measures.

The Apollo REVISE NXT System is intended to be used by trained gastroenterologists or surgeons that perform bariatric procedures to facilitate weight loss in adult patients with obesity with BMI between 30-50 kg/m2 by enabling transoral outlet reduction as a revision to a previous bariatric procedure.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K232544: Apollo ESG NXT System, Apollo REVISE NXT System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K232544

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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