510(k) Report

510(k) · Cleared

Recalled · 2003

Zimmon Papillotome

K901443510(k) TraditionalCleared Jun 18, 199083-day reviewClass II21 CFR 876.4300Recalls 1

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

Wilson-Cook Medical, Inc. · KNS Unit, Electrosurgical, Endoscopic (With Or Without Accessories)

Cleared on Jun 18, 1990 after an 83-day review. FDA has not posted a summary or statement for it, so its predicates are not known. 11 later devices descend from it. It has been recalled once.

Decided
Jun 18, 1990
Review
83 days
Class
Class II
Product code
KNS
Recalls
1
Predicates
0

11 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2003: 1 descendant cleared2018: 2 descendants cleared2005: 1 descendant cleared2006: 1 descendant cleared2021: 1 descendant cleared2025: 2 descendants cleared2023: 2 descendants cleared2020: 1 descendant cleared1990200020102020
  1. This deviceK901443 Zimmon PapillotomeWilson-Cook Medical, Inc. · 1990
  2. Descendant · cites it directly · 6 of its ownK033203 Wilson-Cook Tri-Tome Select PlusWilson-Cook Medical, Inc. · 2003
  3. Descendant · cites it directly · 4 of its ownK172665 Classic Cotton Cannulatome®, CannulaTome II® Double Lumen…Wilson-Cook Medical Inc./Cook Endoscopy · 2018
  4. Descendant · 2 generations on · 4 of its ownK052051 Omni SphincterotomeWilson-Cook Medical, Inc. · 2005 · Recalled
  5. Descendant · 3 generations on · 3 of its ownK172288 Fusion OMNI SphincterotomeWilson-Cook Medical Inc./Cook Endoscopy · 2018
  6. Descendant · 2 generations on · 2 of its ownK201121 SphincterotomeHangzhou AGS MedTech Co., Ltd. · 2021

Showing 5 of 11 descendants. See all descendants

Descendants cleared per year

2003: 12005: 12006: 12018: 22020: 12021: 12023: 22025: 2
2003high 2 (2018) · low 0 (2004)2026

Most influential descendants

Showing 5 of 11 · See all
  • K033203Wilson-Cook Tri-Tome Select PlusWilson-Cook Medical, Inc. · 2003 · cites it directly6descendants
  • K172665Classic Cotton Cannulatome®, CannulaTome II® Double Lumen Sphincterotome, Cotton…Wilson-Cook Medical Inc./Cook Endoscopy · 2018 · cites it directly4descendants
  • K052051Omni SphincterotomeWilson-Cook Medical, Inc. · 2005 · 2 generations on4descendants
  • K172288Fusion OMNI SphincterotomeWilson-Cook Medical Inc./Cook Endoscopy · 2018 · 3 generations on3descendants
  • K201121SphincterotomeHangzhou AGS MedTech Co., Ltd. · 2021 · 2 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K901443Zimmon PapillotomeWilson-Cook Medical, Inc.1990—
+1K033203Wilson-Cook Tri-Tome Select PlusWilson-Cook Medical, Inc.2003—
+1K172665Classic Cotton Cannulatome®, CannulaTome II® Double Lumen Sphincterotome…Wilson-Cook Medical Inc./Cook Endoscopy2018—
+2K052051Omni SphincterotomeWilson-Cook Medical, Inc.20052
+3K172288Fusion OMNI SphincterotomeWilson-Cook Medical Inc./Cook Endoscopy2018—
+2K201121SphincterotomeHangzhou AGS MedTech Co., Ltd.2021—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200310
200510
200610
201820
202010
202110
202320
202520
FIG. 1 — Lineage of K901443, 1990–2025Source: 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), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in KNS? 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 KNS device

  1. #1 K241271 Aqua Medical RF Vapor Ablation Systemscore 17.2 · 20 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?

FDA has not posted a summary or statement for it, so its predicates are not known.

What descends from it? (11)

See all 11

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K033203Wilson-Cook Tri-Tome Select PlusWilson-Cook Medical, Inc.20036
K172665Classic Cotton Cannulatome®, CannulaTome II® Double Lumen Sphincterotome, Cotton…Wilson-Cook Medical Inc./Cook Endoscopy20184

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Dec 17, 2003Not classifiedZ-0301-04Process controlWire-Guided Sphinterotomes may be packaged with an incorrect wire guide label.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K033203 (Wilson-Cook Medical, Inc., 2003) has gone furthest, with 6 descendants of its own.

How does its category compare?

All KNS devices

KNS Unit, Electrosurgical, Endoscopic (With Or Without Accessories): FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KNS

11in 2025

2007: 12008: 32009: 32010: 42011: 12012: 22013: 22014: 12015: 32016: 32017: 32018: 52019: 72020: 42021: 42022: 32023: 92024: 32025: 112026 (partial year): 2
2007high 11 (2025) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KNS

171in 2025

2008: 61 days median2009: 212 days median2010: 168 days median2015: 252 days median2016: 30 days median2017: 48 days median2018: 62 days median2019: 66 days median2020: 212 days median2021: 139 days median2022: 182 days median2023: 83 days median2024: 198 days median2025: 171 days median
2007high 252 (2015) · low 30 (2016)2026

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

Recalls per year · KNS

14in 2024

2007: 32008: 52009: 22011: 22016: 62017: 12021: 412024: 142026 (partial year): 4
2007high 41 (2021) · low 0 (2010)2026

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

Adverse event reports per year · KNS

1,504in 2025

2007: 1642008: 5872009: 1,0272010: 9082011: 8602012: 8482013: 4492014: 4052015: 4062016: 4572017: 4462018: 5632019: 6682020: 9062021: 8142022: 9132023: 9762024: 1,5332025: 1,504
2007high 1,533 (2024) · low 164 (2007)2025

MAUDE reports naming product code KNS, 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
20071—3164
20083615587
2009321221,027
201041680908
20111—2860
20122—0848
20132—0449
20141—0405
201532520406
20163306457
20173481446
20185620563
20197660668
202042120906
2021413941814
202231820913
20239830976
20243198141,533
20251117101,504
20262—4—
Cite this page

510(k) Report. “K901443: Zimmon Papillotome.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K901443

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Record history
  • FDA decision record loaded May 2, 2026
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026