Cleared Traditional

K200769 - Disposable Endoscope Valves Set, Disposable Endoscope Valves Set B (FDA 510(k) Clearance)

Class II Gastroenterology & Urology device cleared through predicate-based substantial equivalence - typically does not require clinical trials.

K200769 · Wilson Instruments (Sha) Co., Ltd. · Gastroenterology & Urology device
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Jan 2021
Decision
287d
Days
Class 2
Risk

K200769 is an FDA 510(k) clearance for the Disposable Endoscope Valves Set, Disposable Endoscope Valves Set B. Classified as Endoscope Channel Accessory (product code ODC), Class II - Special Controls.

Submitted by Wilson Instruments (Sha) Co., Ltd. (Shanghai, CN). The FDA issued a Cleared decision on January 6, 2021 after a review of 287 days - an extended review cycle.

This device falls under the Gastroenterology & Urology FDA review panel, regulated under 21 CFR 876.1500 - the FDA gastroenterology and urology device framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Standard predicate-based submission. Standard predicate reliance. This clearance follows a standard predicate-based equivalence path within the Gastroenterology & Urology review framework, consistent with the majority of Class II 510(k) submissions.

View all Wilson Instruments (Sha) Co., Ltd. devices

Submission Details

510(k) Number K200769 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received March 25, 2020
Decision Date January 06, 2021
Days to Decision 287 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
157d slower than avg
Panel avg: 130d · This submission: 287d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

Device Classification

Product Code ODC Endoscope Channel Accessory
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 876.1500
Definition To Give The Endoscope Channel Additional Or Improved Functionality.
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 Gastroenterology & Urology devices follow this clearance model.

Regulatory Peers - ODC Endoscope Channel Accessory

All 70
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