Cleared Abbreviated

K112621 - WIS1000

K112621 is an FDA 510(k) clearance for WIS1000, manufactured by Foreseeson Custom Displays, Inc.. The device is a Class 2 General & Plastic Surgery device with product code GCJ cleared through the Abbreviated 510(k) pathway after a 265-day FDA review.

Download Printable Device Report (PDF)
Optimized for regulatory review, auditing and printing
May 2012
Decision
265d
Days
Class 2
Risk

K112621 is an FDA 510(k) clearance for the WIS1000. Classified as Laparoscope, General & Plastic Surgery (product code GCJ), Class II - Special Controls.

Submitted by Foreseeson Custom Displays, Inc. (Anaheim, US). The FDA issued a Cleared decision on May 30, 2012 after a review of 265 days - an extended review cycle.

This device falls under the General & Plastic Surgery FDA review panel, regulated under 21 CFR 876.1500 - the FDA general and plastic surgery device framework. The Abbreviated 510(k) pathway was used, relying on FDA-recognized standards to demonstrate substantial equivalence.

Device pattern: Standards-based predicate clearance. Standards-verified equivalence. The Abbreviated pathway signals strong alignment with FDA-recognized performance standards - typically associated with lower review burden and faster clearance cycles.

View all Foreseeson Custom Displays, Inc. devices

FDA 510(k) Submission Details - K112621

510(k) Number K112621 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received September 08, 2011
Decision Date May 30, 2012
Days to Decision 265 days
Submission Type Abbreviated
Review Panel General & Plastic Surgery (SU)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
150d slower than avg
Panel avg: 115d · This submission: 265d
Pathway characteristics
Standards-based clearance path.

GCJ Device Classification - Class 2, Special Controls

Product Code GCJ Laparoscope, General & Plastic Surgery
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 876.1500
Definition Validated Reprocessing Instructions And Reprocessing Validation Data For This Device Type Must Be Included In A 510(k) Submission If The Device Is Reusable And Has Specific Design Features (please Refer To Table 2 Of 82 Fr 26807, Available At Https://www.gpo.gov/fdsys/pkg/fr-2017-06-09/pdf/2017-12007.pdf).
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most General & Plastic Surgery devices follow this clearance model.

Regulatory Peers - GCJ Laparoscope, General & Plastic Surgery

All 860
Devices cleared under the same product code (GCJ) and FDA review panel - the closest regulatory comparables to K112621.
WIRELESS IMAGE TRANSMITTER UNIT
K120278 · Olympus Medical Systems Corp. · Aug 2012
NCIRCLE(R) NITINOL TIPLESS STONE EXTRACTOR NGAGE(R) NITINOL STONE EXTRACTOR
K120468 · Cook Incorporated · Jul 2012
SYSTEMS INTEGRATION
K121701 · Olympus Medical Systems Corp. · Jun 2012
WECK VISTA OPTICAL BLADELESS LAPAROSCOPIC ACCESS PORT
K121380 · Teleflexmedical, Inc. · May 2012
ENDOSCOPIC APPLICATOR
K120608 · Micromedics, Inc. · Mar 2012
ADAPT(TM) UNIVERSAL BALLOON OPEN ACCESS PORT
K112456 · Teleflexmedical, Inc. · Oct 2011