510(k) Report

510(k) · Cleared

Cleared

Flexible Ureterorenoscope (US27F-12-EU; US27F-12-US)

K243857510(k) TraditionalCleared Apr 11, 2025116-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

Shanghai AnQing Medical Instrument Co., Ltd. · FGB Ureteroscope And Accessories, Flexible/Rigid

Cleared on Apr 11, 2025 as substantially equivalent to K220159 (Shanghai AnQing Medical Instrument Co., Ltd., 2022) after a 116-day review. Its family tree reaches back 11 generations to 1993. 1 of the 32 devices in its family, counting itself, has a Class I recall. 1 later device descends from it.

Decided
Apr 11, 2025
Review
116 days
Class
Class II
Product code
FGB
Recalls
None
Predicates
1

Its longest line of descent runs back 11 generations to K931154 (1993). 30 ancestors in all, the oldest K843084 (1985). 1 later device descends from it, 1 citing it directly. 1 of the 32 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2015: 1 other ancestor2004: 1 other ancestor2001: 4 other ancestors2003: 1 other ancestor1995: 3 other ancestors1997: 2 other ancestors1991: 2 other ancestors, 1 with a Class I recall12000: 1 other ancestor1993: 1 other ancestor1992: 1 other ancestor1985: 2 other ancestors2025: 1 descendant clearedK931154 · Evis 200 System · Olympus Corp. · 1993K963033 · BF 240/P240/IT240 Bronchovideoscope & Accessories · Olympus America, Inc. · 1996 · recalledK981543 · Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories and Ancillary Equipment · The Olympus Optical Co. · 1998 · recalledK021074 · Visera Cystovideoscope Olympus Cyf Type V/VA · Olympus America, Inc. · 2002K030960 · Ecn Electronic Video Cystonephroscope · Acmi Corporation · 2003K042225 · Acmi Invisio Icn, Models Icn-0564 and Icn-0565 · Acmi Corporation · 2004K060269 · Acmi Dur-Digital Ureteroscope and Choledochoscope System · Acmi Corporation · 2006K131369 · Flexible Video-Uretero-Renoscope System · KARL STORZ Endoscopy-America, Inc. · 2013 · recalledK180367 · Ureterorenoscope System · Shanghai AnQing Medical Instrument Co., Ltd. · 2018K201293 · Ureterorenoscope System · Shanghai AnQing Medical Instrument Co., Ltd. · 2020K220159 · Flexible Ureterorenoscope (Model: US31D-12-EU), Flexible Ureterorenoscope (Model: US31D-12-US) · Shanghai AnQing Medical Instrument Co., Ltd. · 20221990200020102020
Other ancestors, by generationDescendants, by generation 4 generations back: 1 other ancestor5 generations back: 2 other ancestors6 generations back: 3 other ancestors7 generations back: 3 other ancestors8 generations back: 3 other ancestors9 generations back: 2 other ancestors, 1 with a Class I recall110 generations back: 5 other ancestors 1 generation forward: 1 descendant K220159 · Flexible Ureterorenoscope (Model: US31D-12-EU), Flexible Ureterorenoscope (Model: US31D-12-US) · Shanghai AnQing Medical Instrument Co., Ltd. · 2022K201293 · Ureterorenoscope System · Shanghai AnQing Medical Instrument Co., Ltd. · 2020K180367 · Ureterorenoscope System · Shanghai AnQing Medical Instrument Co., Ltd. · 2018K131369 · Flexible Video-Uretero-Renoscope System · KARL STORZ Endoscopy-America, Inc. · 2013 · recalledK060269 · Acmi Dur-Digital Ureteroscope and Choledochoscope System · Acmi Corporation · 2006K042225 · Acmi Invisio Icn, Models Icn-0564 and Icn-0565 · Acmi Corporation · 2004K030960 · Ecn Electronic Video Cystonephroscope · Acmi Corporation · 2003K021074 · Visera Cystovideoscope Olympus Cyf Type V/VA · Olympus America, Inc. · 2002K981543 · Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories and Ancillary Equipment · The Olympus Optical Co. · 1998 · recalledK963033 · BF 240/P240/IT240 Bronchovideoscope & Accessories · Olympus America, Inc. · 1996 · recalledK931154 · Evis 200 System · Olympus Corp. · 1993−10−50
  1. Root · 11 generations backK931154 Evis 200 SystemOlympus Corp. · 1993
  2. 7 generations between
  3. 3 generations backK180367 Ureterorenoscope SystemShanghai AnQing Medical Instrument Co., Ltd. · 2018
  4. 2 generations backK201293 Ureterorenoscope SystemShanghai AnQing Medical Instrument Co., Ltd. · 2020
  5. 1 generation backK220159 Flexible Ureterorenoscope (Model: US31D-12-EU), Flexible…Shanghai AnQing Medical Instrument Co., Ltd. · 2022
  6. This deviceK243857 Flexible Ureterorenoscope (US27F-12-EU; US27F-12-US)Shanghai AnQing Medical Instrument Co., Ltd. · 2025
  7. Descendant · cites it directly · 0 of its ownK252806 Flexible Suction Ureterorenoscope (US27G-12-EU, US27G-12-US…Shanghai AnQing Medical Instrument Co., Ltd. · 2025
Show all 11 generations
  1. Root · 11 generations backK931154 Evis 200 SystemOlympus Corp. · 1993
  2. 10 generations backK963033 BF 240/P240/IT240 Bronchovideoscope & AccessoriesOlympus America, Inc. · 1996 · Recalled
  3. 9 generations backK981543 Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories…The Olympus Optical Co. · 1998 · Recalled
  4. 8 generations backK021074 Visera Cystovideoscope Olympus Cyf Type V/VAOlympus America, Inc. · 2002
  5. 7 generations backK030960 Ecn Electronic Video CystonephroscopeAcmi Corporation · 2003
  6. 6 generations backK042225 Acmi Invisio Icn, Models Icn-0564 and Icn-0565Acmi Corporation · 2004
  7. 5 generations backK060269 Acmi Dur-Digital Ureteroscope and Choledochoscope SystemAcmi Corporation · 2006
  8. 4 generations backK131369 Flexible Video-Uretero-Renoscope SystemKARL STORZ Endoscopy-America, Inc. · 2013 · Recalled
  9. 3 generations backK180367 Ureterorenoscope SystemShanghai AnQing Medical Instrument Co., Ltd. · 2018
  10. 2 generations backK201293 Ureterorenoscope SystemShanghai AnQing Medical Instrument Co., Ltd. · 2020
  11. 1 generation backK220159 Flexible Ureterorenoscope (Model: US31D-12-EU), Flexible…Shanghai AnQing Medical Instrument Co., Ltd. · 2022
  12. This deviceK243857 Flexible Ureterorenoscope (US27F-12-EU; US27F-12-US)Shanghai AnQing Medical Instrument Co., Ltd. · 2025

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K252806Flexible Suction Ureterorenoscope (US27G-12-EU, US27G-12-US, US33G-17-EU, US33G-17-US…Shanghai AnQing Medical Instrument Co., Ltd. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K931154Evis 200 SystemOlympus Corp.1993—
−10K963033BF 240/P240/IT240 Bronchovideoscope & AccessoriesOlympus America, Inc.19966
−9K981543Olympus LF-TP and LF-DP Tracheal Intubation Fiberscopes, Accessories and…The Olympus Optical Co.19985
−8K021074Visera Cystovideoscope Olympus Cyf Type V/VAOlympus America, Inc.2002—
−7K030960Ecn Electronic Video CystonephroscopeAcmi Corporation2003—
−6K042225Acmi Invisio Icn, Models Icn-0564 and Icn-0565Acmi Corporation2004—
−5K060269Acmi Dur-Digital Ureteroscope and Choledochoscope SystemAcmi Corporation2006—
−4K131369Flexible Video-Uretero-Renoscope SystemKARL STORZ Endoscopy-America, Inc.20131
−3K180367Ureterorenoscope SystemShanghai AnQing Medical Instrument Co., Ltd.2018—
−2K201293Ureterorenoscope SystemShanghai AnQing Medical Instrument Co., Ltd.2020—
−1K220159Flexible Ureterorenoscope (Model: US31D-12-EU), Flexible Ureterorenoscope…Shanghai AnQing Medical Instrument Co., Ltd.2022—
0 (this device)K243857Flexible Ureterorenoscope (US27F-12-EU; US27F-12-US)Shanghai AnQing Medical Instrument Co., Ltd.2025—
+1K252806Flexible Suction Ureterorenoscope (US27G-12-EU, US27G-12-US, US33G-17-EU…Shanghai AnQing Medical Instrument Co., Ltd.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198520
199121
199210
199310
199530
199720
200010
200140
200310
200410
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K243857, 1993–2025Source: 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 FGB device

  1. #1 K251951 Single-Use Video Flexible Ureterorenoscope…score 16.2 · 10 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
*K220159Flexible Ureterorenoscope (Model: US31D-12-EU), Flexible Ureterorenoscope (Model…
Summary page 5
…21 CFR 807.92(a)(3) Predicate# Predicate Trade Name (Primary Predicate is listed first) Product Code I 1<220159 11 Flexible Ureterorenoscope…
Shanghai AnQing Medical Instrument Co., Ltd.2022—

Also cleared against K220159: 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
K252806Flexible Suction Ureterorenoscope (US27G-12-EU, US27G-12-US, US33G-17-EU, US33G-17-US…Shanghai AnQing Medical Instrument Co., Ltd.20250

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.

  • K912120Urf-P2 Ureterorenofiberscope/CholedochofiberscopeOlympus Corp. · 1991 · 9 generations back · ◆ in the 1991 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 32 years and passes through 6 companies; a new generation was cleared every 2.1 years on median.
  • 8 of the 30 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K252806 (Shanghai AnQing Medical Instrument Co., Ltd., 2025) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K220159.

How does its category compare?

All FGB devices

FGB Ureteroscope And Accessories, Flexible/Rigid: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · FGB

17in 2025

2012: 22013: 12014: 22015: 12017: 22018: 42019: 22020: 22021: 32022: 52023: 82024: 162025: 172026 (partial year): 9
2007high 17 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FGB

134in 2025

2018: 191 days median2021: 191 days median2022: 205 days median2023: 183 days median2024: 217 days median2025: 134 days median2026 (partial year): 140 days median
2007high 217 (2024) · low 134 (2025)2026

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

Recalls per year · FGB

15in 2024

2022: 42023: 12024: 152026 (partial year): 1
2007high 15 (2024) · low 0 (2007)2026

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

Adverse event reports per year · FGB

1,307in 2025

2007: 62008: 72009: 42010: 202011: 172012: 112013: 82014: 122015: 162016: 352017: 1422018: 1182019: 2072020: 4022021: 3252022: 4552023: 4582024: 5722025: 1,307
2007high 1,307 (2025) · low 4 (2009)2025

MAUDE reports naming product code FGB, 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—06
20080—07
20090—04
20100—020
20110—017
20122—011
20131—08
20142—012
20151—016
20160—035
20172—0142
201841910118
20192—0207
20202—0402
202131910325
202252054455
202381831458
20241621715572
20251713401,307
202691401—

What is it indicated for?

The Flexible Ureterorenoscope is intended to be used to visualize organs, cavities and canals in the urinary tract (urethra, bladder, ureter, calyces and renal papillae) via transurethral access routes. It can also be used in conjunction with endoscopic accessories to perform various diagnostic and therapeutic procedures in the urinary tract.

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. “K243857: Flexible Ureterorenoscope (US27F-12-EU; US27F-12-US).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K243857

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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