510(k) Report

510(k) · Cleared

Recalled · Class I · 2012

Proximate HCS Hemorrhoidal Circular Stapler and Accessories

K991030510(k) TraditionalCleared May 17, 199949-day reviewClass II21 CFR 878.4750Recalls 1 (1 Class I)

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

Ethicon Endo-Surgery, Inc. · GDW Staple, Implantable

Cleared on May 17, 1999 as substantially equivalent to K983536 (Ethicon Endo-Surgery, Inc., 1998) after a 49-day review. Its family tree reaches back 2 generations to 1994. 5 of the 33 devices in its family, counting itself, have a Class I recall. 30 later devices descend from it. It has been recalled once, including a Class I recall.

Decided
May 17, 1999
Review
49 days
Class
Class II
Product code
GDW
Recalls
1 (1 Class I)
Predicates
1

Its longest line of descent runs back 2 generations to K940967 (1994). 30 later devices descend from it, 3 citing it directly. 5 of the 33 devices in this family, counting this one, have a Class I recall.

Descendants, by year cleared 2009: 1 descendant cleared2003: 2 descendants cleared, 2 with a Class I recall22019: 2 descendants cleared2017: 3 descendants cleared2011: 1 descendant cleared2014: 3 descendants cleared2010: 2 descendants cleared2012: 1 descendant cleared2021: 3 descendants cleared2013: 2 descendants cleared2022: 1 descendant cleared2016: 2 descendants cleared2018: 2 descendants cleared2023: 2 descendants cleared2020: 1 descendant cleared2025: 1 descendant cleared2024: 1 descendant clearedK940967 · Modified Endopath Ils · Ethicon Endo-Surgery, Inc. · 1994 · Class I recallK983536 · Proximate Curved and Straight Intraluminal Staplers · Ethicon Endo-Surgery, Inc. · 1998 · Class I recall1990200020102020
Descendants, by generation 1 generation forward: 3 descendants, 2 with a Class I recall22 generations forward: 8 descendants3 generations forward: 9 descendants4 generations forward: 3 descendants5 generations forward: 3 descendants6 generations forward: 1 descendant7 generations forward: 1 descendant8 generations forward: 2 descendants K983536 · Proximate Curved and Straight Intraluminal Staplers · Ethicon Endo-Surgery, Inc. · 1998 · Class I recallK940967 · Modified Endopath Ils · Ethicon Endo-Surgery, Inc. · 1994 · Class I recall0+5
  1. Root · 2 generations backK940967 Modified Endopath IlsEthicon Endo-Surgery, Inc. · 1994 · Recalled (Class I)
  2. 1 generation backK983536 Proximate Curved and Straight Intraluminal StaplersEthicon Endo-Surgery, Inc. · 1998 · Recalled (Class I)
  3. This deviceK991030 Proximate HCS Hemorrhoidal Circular Stapler and AccessoriesEthicon Endo-Surgery, Inc. · 1999
  4. Descendant · cites it directly · 22 of its ownK030925 Proximate HCS Hemorrhoidal Circular Stapler and Accessories, Model…Ethicon Endo-Surgery, Inc. · 2003 · Recalled (Class I)
  5. Descendant · cites it directly · 21 of its ownK090821 Chex Single Use Curved Intraluminal Circular Stapler, Model CS 21…Frankenman International Limited · 2009
  6. Descendant · 2 generations on · 17 of its ownK120179 Reach Surgical StaplersReach Surgical, Inc. · 2012
  7. Descendant · 3 generations on · 14 of its ownK131511 Disposable Circular Stapler, Disposable Curved Cutter Stapler…Changzhou Sinolinks Medical Innovation Co., Ltd. · 2013
  8. Descendant · 3 generations on · 7 of its ownK141367 LS Series Linear Stapler and Reloads, CLC Series Curved Linear…Touchstone International Medical Science Co., Ltd. · 2014

Showing 5 of 30 descendants. See all descendants

Descendants cleared per year

2003: 22009: 12010: 22011: 12012: 12013: 22014: 32016: 22017: 32018: 22019: 22020: 12021: 32022: 12023: 22024: 12025: 1
2003high 3 (2014) · low 0 (2004)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 30 · See all
  • K030925Proximate HCS Hemorrhoidal Circular Stapler and Accessories, Model PPH01Ethicon Endo-Surgery, Inc. · 2003 · cites it directly22descendants
  • K090821Chex Single Use Curved Intraluminal Circular Stapler, Model CS 21, CS 25, CS 28, CS 32…Frankenman International Limited · 2009 · cites it directly21descendants
  • K120179Reach Surgical StaplersReach Surgical, Inc. · 2012 · 2 generations on17descendants
  • K131511Disposable Circular Stapler, Disposable Curved Cutter Stapler, Disposable Linear…Changzhou Sinolinks Medical Innovation Co., Ltd. · 2013 · 3 generations on14descendants
  • K141367LS Series Linear Stapler and Reloads, CLC Series Curved Linear Cutter and Reloads, LC…Touchstone International Medical Science Co., Ltd. · 2014 · 3 generations on7descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K940967Modified Endopath IlsEthicon Endo-Surgery, Inc.1994Class I
−1K983536Proximate Curved and Straight Intraluminal StaplersEthicon Endo-Surgery, Inc.1998Class I
0 (this device)K991030Proximate HCS Hemorrhoidal Circular Stapler and AccessoriesEthicon Endo-Surgery, Inc.1999—
+1K030925Proximate HCS Hemorrhoidal Circular Stapler and Accessories, Model PPH01Ethicon Endo-Surgery, Inc.2003Class I
+1K090821Chex Single Use Curved Intraluminal Circular Stapler, Model CS 21, CS 25, CS…Frankenman International Limited2009—
+2K120179Reach Surgical StaplersReach Surgical, Inc.2012—
+3K131511Disposable Circular Stapler, Disposable Curved Cutter Stapler, Disposable…Changzhou Sinolinks Medical Innovation Co., Ltd.2013—
+3K141367LS Series Linear Stapler and Reloads, CLC Series Curved Linear Cutter and…Touchstone International Medical Science Co., Ltd.2014—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200322
200910
201020
201110
201210
201320
201430
201620
201730
201820
201920
202010
202130
202210
202320
202410
202510
FIG. 1 — Lineage of K991030, 1994–2025Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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.

5 devices in this family have 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 GDW device

  1. #1 K253657 Tri-staple 2.0™ Reloads; Endo GIA™ Reloads…score 15.0 · 14 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
*K983536Proximate Curved and Straight Intraluminal Staplers
Summary page 1
…ircular Stapler Trade Name /Proprietary Name: PROXIMATE® HCS Hemorrhoidal Circular Stapler and accessories Legally PROXIMATE® Curved and Straight Intraluminal Staplers (K983536). marketed device Device PROXIMATE® HCS Hemorrhoidal Circular Stapler and accessories is description available in a 33 mm diame…
Ethicon Endo-Surgery, Inc.1998Class I

Also cleared against K983536: 8 other devices →

What descends from it? (30)

See all 30

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

NumberDeviceApplicantDecidedDescendants
K030925Proximate HCS Hemorrhoidal Circular Stapler and Accessories, Model PPH01 Class IEthicon Endo-Surgery, Inc.200322
K090821Chex Single Use Curved Intraluminal Circular Stapler, Model CS 21, CS 25, CS 28, CS 32…Frankenman International Limited200921
K030411Proximate PPH Hemorrhoidal Circular Stapler and Accessories, Model PPH03 Class IEthicon Endo-Surgery, Inc.20036

Has anything in its family been recalled? (5 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Aug 3, 2012Class IZ-0057-2013Process change controlEthicon Endo-Surgery initiated this voluntary global recall for specific production lots of PROXIMATE PPH Hemorrhoidal Circular Stapler and Accessories 33mm (PPH01 and PPH03) and Transtar Circular Stapler Procedure Set (STR10) due to…

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.

  • K983536Proximate Curved and Straight Intraluminal StaplersEthicon Endo-Surgery, Inc. · 1998 · Direct predicate · ◆ on the line of descent in FIG. 112 Class I recalls
  • K940967Modified Endopath IlsEthicon Endo-Surgery, Inc. · 1994 · 2 generations back · ◆ on the line of descent in FIG. 14 Class I recalls
  • K030411Proximate PPH Hemorrhoidal Circular Stapler and Accessories, Model PPH03Ethicon Endo-Surgery, Inc. · 2003 · Cites it directly · ◆ in the 2003 descendants bar of FIG. 11 Class I recall
  • K030925Proximate HCS Hemorrhoidal Circular Stapler and Accessories, Model PPH01Ethicon Endo-Surgery, Inc. · 2003 · Cites it directly · ◆ in the 2003 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 5 years and passes through 1 company; a new generation was cleared every 4.6 years on median.
  • 2 of the 2 ancestors have a recall of any class; 2 have a Class I recall.
  • Of its descendants, K030925 (Ethicon Endo-Surgery, Inc., 2003) has gone furthest, with 22 descendants of its own.
  • 8 other devices also cite its predicate K983536.

How does its category compare?

All GDW devices

GDW Staple, Implantable: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GDW

3in 2025

2007: 82008: 72009: 132010: 102011: 112012: 92013: 132014: 152015: 82016: 112017: 132018: 72019: 122020: 102021: 92022: 72023: 42024: 22025: 32026 (partial year): 3
2007high 15 (2014) · low 2 (2024)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GDW

111in 2025

2007: 56 days median2008: 57 days median2009: 27 days median2010: 39 days median2011: 49 days median2012: 45 days median2013: 49 days median2014: 63 days median2015: 111 days median2016: 96 days median2017: 103 days median2018: 90 days median2019: 205 days median2020: 88 days median2021: 233 days median2022: 89 days median2023: 267 days median2025: 111 days median2026 (partial year): 141 days median
2007high 267 (2023) · low 27 (2009)2026

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

Recalls per year · GDW

3in 2025

2007: 92009: 222010: 22011: 92012: 11, 1 Class I2013: 12015: 62016: 22017: 32018: 32019: 4, 4 Class I2020: 112023: 12025: 3
2007high 22 (2009) · low 0 (2008)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · GDW

11,905in 2025

2007: 2,4012008: 2,3802009: 4,0142010: 3,7682011: 3,8262012: 3,7172013: 3,7772014: 4,7842015: 4,8992016: 5,1062017: 11,6432018: 14,9142019: 16,6002020: 12,3322021: 13,0152022: 13,6052023: 14,6232024: 13,2802025: 11,905
2007high 16,600 (2019) · low 2,380 (2008)2025

MAUDE reports naming product code GDW, 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
200785692,401
200875702,380
20091327224,014
2010103923,768
2011114993,826
201294511 (1)3,717
2013134913,777
2014156304,784
2015811164,899
2016119625,106
201713103311,643
2018790314,914
2019122054 (4)16,600
202010881112,332
20219233013,015
2022789013,605
20234267114,623
20242—013,280
20253111311,905
202631410—

What is it indicated for?

The PROXIMATE® HCS Hemorrhoidal Circular Stapler and accessories has application throughout the anal canal to perform surgical treatment of hemorrhoidal disease.

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. “K991030: Proximate HCS Hemorrhoidal Circular Stapler and Accessories.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K991030

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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