510(k) Report

510(k) · Cleared

Cleared

Disposable Hemostatic Clips

K232969510(k) TraditionalCleared Jun 7, 2024260-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

Ningbo Xinwell Medical Technology Co., Ltd. · PKL Hemostatic Metal Clip For The Gi Tract

Cleared on Jun 7, 2024 as substantially equivalent to K202333 (Micro-Tech (Nanjing) Co., Ltd., 2021) after a 260-day review. Its family tree reaches back 8 generations to 1997.

Decided
Jun 7, 2024
Review
260 days
Class
Class II
Product code
PKL
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K963160 (1997). No later device cites it as a predicate yet.

  1. Root · 8 generations backK963160 HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc. · 1997
  2. 7 generations backK990687 HX-5/6-1 Endoscopic Clipping Device, Endoscopic ClipsOlympus Optical, Co. · 1999
  3. 6 generations backK013066 HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc. · 2001 · Recalled
  4. 5 generations backK040148 Resolution Hemostasis Clipping DeviceBoston Scientific Corp · 2004 · Recalled
  5. 4 generations backK122660 Resolution Clip Model M00522600, M00522601, M00522602, M00522610…Boston Scientific Corporation · 2012
  6. 3 generations backK142973 Resolution ClipBoston Scientific Corporation · 2014
  7. 2 generations backK151802 Resolution ClipBoston Scientific Corporation · 2015
  8. 1 generation backK202333 Lockado Repositionable Hemostasis ClipMicro-Tech (Nanjing) Co., Ltd. · 2021
  9. This deviceK232969 Disposable Hemostatic ClipsNingbo Xinwell Medical Technology Co., Ltd. · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K963160HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc.1997—
−7K990687HX-5/6-1 Endoscopic Clipping Device, Endoscopic ClipsOlympus Optical, Co.1999—
−6K013066HX-5/6-1 Endoscopic Clipping DeviceOlympus America, Inc.20011
−5K040148Resolution Hemostasis Clipping DeviceBoston Scientific Corp20042
−4K122660Resolution Clip Model M00522600, M00522601, M00522602, M00522610, M00522611…Boston Scientific Corporation2012—
−3K142973Resolution ClipBoston Scientific Corporation2014—
−2K151802Resolution ClipBoston Scientific Corporation2015—
−1K202333Lockado Repositionable Hemostasis ClipMicro-Tech (Nanjing) Co., Ltd.2021—
0 (this device)K232969Disposable Hemostatic ClipsNingbo Xinwell Medical Technology Co., Ltd.2024—
FIG. 1 — Lineage of K232969, 1997–2024Source: 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.

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
*K202333Lockado Repositionable Hemostasis Clip
Summary page 6
…11mm, 13mm and 16mm. The proposed devices are provided in sterile and single use. 6. Identification of Predicate Device Predicate Device 510(k) Number: K202333 Product Name: Lockado™ Repositionable Hemostasis Clip…
Micro-Tech (Nanjing) Co., Ltd.2021—

Also cleared against K202333: 4 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 27 years and passes through 6 companies; a new generation was cleared every 2.7 years on median.
  • 2 of the 8 ancestors have a recall of any class.
  • 4 other devices also cite its predicate K202333.

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. 2024, 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 Disposable Hemostatic Clips is indicated for Endoscopic clip placement within the

Gastrointestinal tract in adult populations only via a straight or side viewing flexible endoscope for

the purpose of :

1) Endoscopic marking;

2) Hemostasis for:

A) Mucosal/sub-mucosal defects < 3cm.

B) Bleeding ulcers.

C) Polyps < 1.5cm in diameter.

D) Diverticula in the colon.

E) Arteries < 2 mm.

F) Prophylactic clipping to reduce the risk of delayed bleeding post lesion resection.

3) As a supplementary method, closure of GI tract luminal perforations <20mm that can be treated

conservatively

4) Anchoring to affix jejunal feeding tubes to the wall of the small bowel

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K232969: Disposable Hemostatic Clips.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K232969

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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