510(k) Report

510(k) · Cleared

Cleared

Double Balloon Endoscope EN-840T, Over-tube TS-1214C

K233321510(k) TraditionalCleared Jun 13, 2024258-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

FUJIFILM Healthcare Americas Corporation · FDA Enteroscope And Accessories

Cleared on Jun 13, 2024 as substantially equivalent to K143556 (Fujifilm Medical Systems U.S.A, Inc., 2015) and 3 other predicates after a 258-day review. Its family tree reaches back 6 generations to 2000.

Decided
Jun 13, 2024
Review
258 days
Class
Class II
Product code
FDA
Recalls
None
Predicates
4

Its longest line of descent runs back 6 generations to K993704 (2000). 16 ancestors in all, the oldest K944759 (1995). No later device cites it as a predicate yet.

  1. Root · 6 generations backK993704 Gastro-Intestinal System EN-410WMFujinon, Inc. · 2000
  2. 5 generations backK040048 Fujinon Double Balloon Enteroscopy SystemFujinon, Inc. · 2004
  3. 4 generations backK090116 Fujinon Colonoscope for Double Balloon Enterscopy System Model…Fujinon, Inc. · 2009
  4. 3 generations backK143556 Fujifilm Double Balloon Endoscopes Models EN-530T and EN-580TFujifilm Medical Systems U.S.A, Inc. · 2015
  5. 2 generations backK183683 FUJIFILM Double Balloon Endoscopes EN-580T, EC-450BI5, EN-450P5/20…Fujifilm Corporation · 2019
  6. 1 generation backK223295 Endoscope Model EN-580T, Over-tube TS-1314B, Balloon BS-4, Tube Kit…Fujifilm Corporaton · 2023
  7. This deviceK233321 Double Balloon Endoscope EN-840T, Over-tube TS-1214CFUJIFILM Healthcare Americas Corporation · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K993704Gastro-Intestinal System EN-410WMFujinon, Inc.2000—
−5K040048Fujinon Double Balloon Enteroscopy SystemFujinon, Inc.2004—
−4K090116Fujinon Colonoscope for Double Balloon Enterscopy System Model, EC-450B15Fujinon, Inc.2009—
−3K143556Fujifilm Double Balloon Endoscopes Models EN-530T and EN-580TFujifilm Medical Systems U.S.A, Inc.2015—
−2K183683FUJIFILM Double Balloon Endoscopes EN-580T, EC-450BI5, EN-450P5/20, and EN-450T5Fujifilm Corporation2019—
−1K223295Endoscope Model EN-580T, Over-tube TS-1314B, Balloon BS-4, Tube Kit TY-500DFujifilm Corporaton2023—
0 (this device)K233321Double Balloon Endoscope EN-840T, Over-tube TS-1214CFUJIFILM Healthcare Americas Corporation2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199520
200420
201210
201510
201910
202120
202310
FIG. 1 — Lineage of K233321, 2000–2024Source: 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 FDA? 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 FDA device

  1. #1 K260314 Ancora-SBscore 13.4 · 8 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? (4)

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
*K143556Fujifilm Double Balloon Endoscopes Models EN-530T and EN-580T
Summary page 5
…ber 876.1500 Product Code FDA I Legally Marketed Predicate Devices 21 CFR 807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K143556 Fujifilm Double Balloon Endoscopes Models EN-530T and EN-5§( | FDA K221551 FUJIFILM Endoscope Model EI-740D/S FDS K183032 FUJIFIL…
Fujifilm Medical Systems U.S.A, Inc.2015—
*K221551FUJIFILM Endoscope Model EI-740D/S
Summary page 5
…807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K143556 Fujifilm Double Balloon Endoscopes Models EN-530T and EN-5§( | FDA K221551 FUJIFILM Endoscope Model EI-740D/S FDS K183032 FUJIFILM Double Balloon Endoscope EI-580BT FDA K223295 Endoscope Model EN-580T, Ov…
Fujifilm Corporaton2023—
*K183032FUJIFILM Double Balloon Endoscope EI580BT
Summary page 5
…Primary Predicate is listed first) Product Code K143556 Fujifilm Double Balloon Endoscopes Models EN-530T and EN-5§( | FDA K221551 FUJIFILM Endoscope Model EI-740D/S FDS K183032 FUJIFILM Double Balloon Endoscope EI-580BT FDA K223295 Endoscope Model EN-580T, Over-tube TS-1314B, Balloon BS'AEI FDA Device Des…
Fujifilm Corporation2019—
*K223295Endoscope Model EN-580T, Over-tube TS-1314B, Balloon BS-4, Tube Kit TY-500D
Summary page 5
…Fujifilm Double Balloon Endoscopes Models EN-530T and EN-5§( | FDA K221551 FUJIFILM Endoscope Model EI-740D/S FDS K183032 FUJIFILM Double Balloon Endoscope EI-580BT FDA K223295 Endoscope Model EN-580T, Over-tube TS-1314B, Balloon BS'AEI FDA Device Description Summary 21 CFR 807.92(a)(4) Technological cha…
Fujifilm Corporaton2023—

Also cleared against K143556: 6 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 24 years and passes through 5 companies; a new generation was cleared every 4.3 years on median.
  • 3 of the 16 ancestors have a recall of any class.
  • 6 other devices also cite its predicate K143556.

How does its category compare?

All FDA devices

FDA Enteroscope And Accessories: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · FDA

1in 2025

2008: 12015: 12019: 22020: 12021: 12023: 22024: 12025: 12026 (partial year): 1
2007high 2 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FDA

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

Recalls per year · FDA

No recall names FDA since 2007.

Adverse event reports per year · FDA

116in 2025

2007: 12008: 12009: 32010: 12012: 22013: 22014: 32015: 22016: 52017: 282018: 812019: 762020: 292021: 242022: 872023: 722024: 862025: 116
2007high 116 (2025) · low 0 (2011)2025

MAUDE reports naming product code FDA, 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—01
20081—01
20090—03
20100—01
20110—00
20120—02
20130—02
20140—03
20151—02
20160—05
20170—028
20180—081
20192—076
20201—029
20211—024
20220—087
20232—072
20241—086
20251—0116
20261—0—

What is it indicated for?

Double Balloon Endoscope Model EN-840T

This device is intended for the visualization of the upper and lower digestive tracts, specifically for the observation, diagnosis, and endoscopic treatment of the esophagus, stomach, duodenum, small intestine, large intestine and rectum.

Never use this product for any other purposes.

Over-Tube TS-1214C

This product is intended to be used as an accessory with the FUJIFILM Double Balloon Endoscope cleared for use with an Over-tube. The Over-tube is used to assist with the movement of the scope inside the upper or lower digestive tract. This product is not intended for use for any neonates, infants or children.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K233321: Double Balloon Endoscope EN-840T, Over-tube TS-1214C.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K233321

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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