510(k) Report

510(k) · Cleared

Cleared

IMAGE1 (TC400US); X-to-4U Adapter (TC040)

K253972510(k) TraditionalCleared Feb 12, 202663-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

Karl Storz SE & CO. KG · OWN Confocal Optical Imaging

Cleared on Feb 12, 2026 as substantially equivalent to K233333 (Karl Storz SE & CO. KG, 2023) after a 63-day review. Its family tree reaches back 21 generations to 1994.

Decided
Feb 12, 2026
Review
63 days
Class
Class II
Product code
OWN
Recalls
None
Predicates
1

Its longest line of descent runs back 21 generations to K930667 (1994). 122 ancestors in all, the oldest K811390 (1981). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2022: 1 other ancestor2020: 2 other ancestors2018: 1 other ancestor2016: 2 other ancestors1994: 5 other ancestors2017: 2 other ancestors2013: 5 other ancestors2002: 5 other ancestors2015: 2 other ancestors2011: 2 other ancestors2007: 4 other ancestors2014: 2 other ancestors2009: 1 other ancestor1995: 6 other ancestors2008: 4 other ancestors2006: 5 other ancestors2001: 6 other ancestors1998: 4 other ancestors1991: 4 other ancestors2005: 4 other ancestors2003: 2 other ancestors2000: 2 other ancestors1999: 7 other ancestors1997: 11 other ancestors1996: 2 other ancestors2004: 4 other ancestors1993: 2 other ancestors1992: 2 other ancestors1988: 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 · recalledK090993 · Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200, IS2000 and IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK123463 · Intuitive Surgical DA Vinci SI Surgical System Smartpedals · Intuitive Surgical, Inc. · 2012 · recalled×2: 2 generations cleared close together, K131861 (2014), K141077 (2014) ×2: 2 generations cleared close together, K150956 (2016), K161792 (2016) K182606 · PINPOINT Endoscopic Fluorescence Imaging System · Novadaq Technologies Ulc. (Now A Part of Stryker) · 2018K202925 · KARL STORZ ICG Imaging System · Karl Storz Endoscopy_America, Inc. · 2020K212695 · KARL STORZ ICG Imaging System · Karl Storz Endoscopy America · 2021K233333 · KARL STORZ ICG Imaging System, KARL STORZ Image1S Camera Control Unit · Karl Storz SE & CO. KG · 202319801990200020102020
Other ancestors, by generation 2 generations back: 2 other ancestors3 generations back: 3 other ancestors4 generations back: 5 other ancestors5 generations back: 4 other ancestors6 generations back: 8 other ancestors7 generations back: 13 other ancestors8 generations back: 15 other ancestors9 generations back: 19 other ancestors10 generations back: 11 other ancestors11 generations back: 13 other ancestors12 generations back: 5 other ancestors13 generations back: 3 other ancestors K233333 · KARL STORZ ICG Imaging System, KARL STORZ Image1S Camera Control Unit · Karl Storz SE & CO. KG · 2023K212695 · KARL STORZ ICG Imaging System · Karl Storz Endoscopy America · 2021K202925 · KARL STORZ ICG Imaging System · Karl Storz Endoscopy_America, Inc. · 2020K182606 · PINPOINT Endoscopic Fluorescence Imaging System · Novadaq Technologies Ulc. (Now A Part of Stryker) · 2018K161792 · PINPOINT Endoscopic Fluorescence Imaging System · Novadaq Technologies, Inc. · 2016K150956 · PINPOINT Endoscopic Fluorescence Imaging System · Novadaq Technologies, Inc. · 2016 · recalledK141077 · DA Vinci Firefly Imaging System · Intuitive Surgical, Inc. · 2014 · recalledK131861 · DA Vinci Surgical System, Endowrist Instruments and Accessories · Intuitive Surgical, Inc. · 2014 · recalledK123463 · Intuitive Surgical DA Vinci SI Surgical System Smartpedals · Intuitive Surgical, Inc. · 2012 · recalledK090993 · Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200, IS2000 and IS3000 · Intuitive Surgical, Inc. · 2009 · 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−20−15−10−50
  1. Root · 21 generations backK930667 Reusable Laparoscopic InstrumentsSnowden-Pencer · 1994 · Recalled
  2. 17 generations between
  3. 3 generations backK202925 KARL STORZ ICG Imaging SystemKarl Storz Endoscopy_America, Inc. · 2020
  4. 2 generations backK212695 KARL STORZ ICG Imaging SystemKarl Storz Endoscopy America · 2021
  5. 1 generation backK233333 KARL STORZ ICG Imaging System, KARL STORZ Image1S Camera Control UnitKarl Storz SE & CO. KG · 2023
  6. This deviceK253972 IMAGE1 (TC400US); X-to-4U Adapter (TC040)Karl Storz SE & CO. KG · 2026
Show all 21 generations
  1. Root · 21 generations backK930667 Reusable Laparoscopic InstrumentsSnowden-Pencer · 1994 · Recalled
  2. 20 generations backK960400 Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line…Snowden-Pencer · 1996
  3. 19 generations backK990144 Intuitive Surgical Endoscopic Instruments, Intuitive Surgical…Intuitive Surgical, Inc. · 2000 · Recalled
  4. 18 generations backK021036 Intuitive Surgical DA Vinci Surgical System, Model IS1000Intuitive Surgical, Inc. · 2002 · Recalled
  5. 17 generations backK040237 Intuitive Surgical DA Vinci Endoscopic Instrument Control System and…Intuitive Surgical, Inc. · 2004
  6. 16 generations backK043153 Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc. · 2004
  7. 15 generations backK050005 Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip…Intuitive Surgical, Inc. · 2005 · Recalled
  8. 14 generations backK050404 Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc. · 2005
  9. 13 generations backK050802 Modification to Intuitive Surgical DA Vinci Surgical System and…Intuitive Surgical, Inc. · 2005
  10. 12 generations backK063220 DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc. · 2006 · Recalled
  11. 11 generations backK081137 Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc. · 2009 · Recalled
  12. 10 generations backK090993 Intuitive Surgical Endoscopic Instrument Control Systems, Models…Intuitive Surgical, Inc. · 2009 · Recalled
  13. 9 generations backK123463 Intuitive Surgical DA Vinci SI Surgical System SmartpedalsIntuitive Surgical, Inc. · 2012 · Recalled
  14. 8 generations backK131861 DA Vinci Surgical System, Endowrist Instruments and AccessoriesIntuitive Surgical, Inc. · 2014 · Recalled
  15. 7 generations backK141077 DA Vinci Firefly Imaging SystemIntuitive Surgical, Inc. · 2014 · Recalled
  16. 6 generations backK150956 PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc. · 2016 · Recalled
  17. 5 generations backK161792 PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc. · 2016
  18. 4 generations backK182606 PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2018
  19. 3 generations backK202925 KARL STORZ ICG Imaging SystemKarl Storz Endoscopy_America, Inc. · 2020
  20. 2 generations backK212695 KARL STORZ ICG Imaging SystemKarl Storz Endoscopy America · 2021
  21. 1 generation backK233333 KARL STORZ ICG Imaging System, KARL STORZ Image1S Camera Control UnitKarl Storz SE & CO. KG · 2023
  22. This deviceK253972 IMAGE1 (TC400US); X-to-4U Adapter (TC040)Karl Storz SE & CO. KG · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−21K930667Reusable Laparoscopic InstrumentsSnowden-Pencer199415
−20K960400Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line…Snowden-Pencer1996—
−19K990144Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic…Intuitive Surgical, Inc.20003
−18K021036Intuitive Surgical DA Vinci Surgical System, Model IS1000Intuitive Surgical, Inc.200218
−17K040237Intuitive Surgical DA Vinci Endoscopic Instrument Control System and…Intuitive Surgical, Inc.2004—
−16K043153Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments, Models…Intuitive Surgical, Inc.2004—
−15K050005Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip Cover…Intuitive Surgical, Inc.20052
−14K050404Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc.2005—
−13K050802Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc.2005—
−12K063220DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc.20064
−11K081137Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc.200925
−10K090993Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200…Intuitive Surgical, Inc.20093
−9K123463Intuitive Surgical DA Vinci SI Surgical System SmartpedalsIntuitive Surgical, Inc.20122
−8K131861DA Vinci Surgical System, Endowrist Instruments and AccessoriesIntuitive Surgical, Inc.201480
−7K141077DA Vinci Firefly Imaging SystemIntuitive Surgical, Inc.20142
−6K150956PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc.20161
−5K161792PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc.2016—
−4K182606PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies Ulc. (Now A Part of Stryker)2018—
−3K202925KARL STORZ ICG Imaging SystemKarl Storz Endoscopy_America, Inc.2020—
−2K212695KARL STORZ ICG Imaging SystemKarl Storz Endoscopy America2021—
−1K233333KARL STORZ ICG Imaging System, KARL STORZ Image1S Camera Control UnitKarl Storz SE & CO. KG2023—
0 (this device)K253972IMAGE1 (TC400US); X-to-4U Adapter (TC040)Karl Storz SE & CO. KG2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198810
199140
199220
199320
199450
199560
199620
1997110
199840
199970
200020
200160
200250
200320
200440
200540
200650
200740
200840
200910
201120
201350
201420
201520
201620
201720
201810
202020
202210
FIG. 1 — Lineage of K253972, 1994–2026Source: 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
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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
*K233333KARL STORZ ICG Imaging System, KARL STORZ Image1S Camera Control Unit
Summary page 5
…6.1500 (Endoscope and Accessories) Device Panel: Gastroenterology & Urology Predicate Device(s): KARL STORZ ICG Imaging System, Image1S Camera Control Unit (K233333) The predicate has not been subjected to a design related recall. Device Description: The IMAGE1 CCU…
Karl Storz SE & CO. KG2023—

Also cleared against K233333: 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 32 years and passes through 7 companies; a new generation was cleared every 1.8 years on median.
  • 30 of the 122 ancestors have a recall of any class.
  • 1 other device also cites its predicate K233333.

How does its category compare?

All OWN devices

OWN Confocal Optical Imaging: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, 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 IMAGE1, a camera control unit (CCU), when used with compatible camera heads or videoendoscopes and ancillary equipment, is intended to provide real-time visible (VIS) and near-infrared (NIR) fluorescent imaging and documentation of endoscopic and microscopic procedures in adults and pediatrics.

The X-to-4U Adapter, as ancillary equipment, is intended to connect compatible camera heads or videoendoscopes to the IMAGE1 CCU.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K253972: IMAGE1 (TC400US); X-to-4U Adapter (TC040).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K253972

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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