510(k) Report

510(k) · Cleared

Cleared

Wilson-Cook Needle Knife Papillotome

K972674510(k) TraditionalCleared Aug 15, 199730-day reviewClass II21 CFR 876.4300

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 Aug 15, 1997 after a 30-day review. The FDA summary names its predicate without a number. 37 later devices descend from it.

Decided
Aug 15, 1997
Review
30 days
Class
Class II
Product code
KNS
Recalls
None
Predicates
0

37 later devices descend from it, 4 citing it directly.

Descendants, by year cleared 2006: 1 descendant cleared2004: 1 descendant cleared2002: 1 descendant cleared2017: 5 descendants cleared2010: 1 descendant cleared2023: 3 descendants cleared2009: 1 descendant cleared2022: 2 descendants cleared2015: 4 descendants cleared2026: 2 descendants cleared2021: 3 descendants cleared2025: 2 descendants cleared2018: 1 descendant cleared2013: 1 descendant cleared2019: 3 descendants cleared2014: 2 descendants cleared2020: 2 descendants cleared2024: 1 descendant cleared2016: 1 descendant cleared1995200020052010201520202025
  1. This deviceK972674 Wilson-Cook Needle Knife PapillotomeWilson-Cook Medical, Inc. · 1997
  2. Descendant · cites it directly · 29 of its ownK022595 Wilson-Cook CystotomeWilson-Cook Medical, Inc. · 2002
  3. Descendant · 2 generations on · 16 of its ownK092359 Echo Tip Ultra High Definition Ultrasound Access Needle, Model…Cook Ireland, Ltd. · 2009 · Recalled
  4. Descendant · 3 generations on · 11 of its ownK123676 Cellvizio 100 Series and Cellvizio Systems with Confocal MiniprobesMauna Kea Technologies · 2013
  5. Descendant · 4 generations on · 10 of its ownK132389 Cellvizio 100 Series System and Cellvizio System with Confocal…Daniel & Daniel Consulting · 2014
  6. Descendant · 5 generations on · 9 of its ownK141358 Cellvizio 100 Series with System Confocal MiniprobesMauna Kea Technologies · 2014

Showing 5 of 37 descendants. See all descendants

Descendants cleared per year

2002: 12004: 12006: 12009: 12010: 12013: 12014: 22015: 42016: 12017: 52018: 12019: 32020: 22021: 32022: 22023: 32024: 12025: 22026: 2
2002high 5 (2017) · low 0 (2003)2026

Most influential descendants

Showing 5 of 37 · See all
  • K022595Wilson-Cook CystotomeWilson-Cook Medical, Inc. · 2002 · cites it directly29descendants
  • K092359Echo Tip Ultra High Definition Ultrasound Access Needle, Model: Echo-HD-19ACook Ireland, Ltd. · 2009 · 2 generations on16descendants
  • K123676Cellvizio 100 Series and Cellvizio Systems with Confocal MiniprobesMauna Kea Technologies · 2013 · 3 generations on11descendants
  • K132389Cellvizio 100 Series System and Cellvizio System with Confocal Miniprobes; Uroflex B and…Daniel & Daniel Consulting · 2014 · 4 generations on10descendants
  • K141358Cellvizio 100 Series with System Confocal MiniprobesMauna Kea Technologies · 2014 · 5 generations on9descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K972674Wilson-Cook Needle Knife PapillotomeWilson-Cook Medical, Inc.1997—
+1K022595Wilson-Cook CystotomeWilson-Cook Medical, Inc.2002—
+2K092359Echo Tip Ultra High Definition Ultrasound Access Needle, Model: Echo-HD-19ACook Ireland, Ltd.20091
+3K123676Cellvizio 100 Series and Cellvizio Systems with Confocal MiniprobesMauna Kea Technologies2013—
+4K132389Cellvizio 100 Series System and Cellvizio System with Confocal Miniprobes…Daniel & Daniel Consulting2014—
+5K141358Cellvizio 100 Series with System Confocal MiniprobesMauna Kea Technologies2014—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
200410
200610
200910
201010
201310
201420
201540
201610
201750
201810
201930
202020
202130
202220
202330
202410
202520
202620
FIG. 1 — Lineage of K972674, 1997–2026Source: 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 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? (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
*—Needle Knife Papillotome | Endovations, Inc.
Named without a submission number
—

What descends from it? (37)

See all 37

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

NumberDeviceApplicantDecidedDescendants
K022595Wilson-Cook CystotomeWilson-Cook Medical, Inc.200229
K040981Usw Needleknife PapillotomeWilson-Cook Medical, Inc.20043
K171993Zimmon Needle Knife PapillotomeWilson-Cook Medical Inc./Cook Endoscopy20171
K061684Medi-Globe Rota-Cut SphincterotomeMedi-Globe Corporation20060

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?

  • Of its descendants, K022595 (Wilson-Cook Medical, Inc., 2002) has gone furthest, with 29 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—

What is it indicated for?

The Wilson-Cook Needle Knife Papillotome is used for accessing the common bile duct when standard cannulation methods have been exhausted. This device is supplied sterile and is intended for single use only.

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. “K972674: Wilson-Cook Needle Knife Papillotome.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K972674

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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