Cleared Traditional

K220159 - Flexible Ureterorenoscope (Model: US31D-12-EU), Flexible Ureterorenoscope (Model: US31D-12-US) (FDA 510(k) Clearance)

Aug 2022
Decision
219d
Days
Class 2
Risk

K220159 is an FDA 510(k) clearance for the Flexible Ureterorenoscope (Model: US31D-12-EU), Flexible Ureterorenoscope (Model: US31D-12-US). This device is classified as a Ureteroscope And Accessories, Flexible/rigid (Class II - Special Controls, product code FGB).

Submitted by Shanghai AnQing Medical Instrument Co., Ltd. (Shanghai, CN). The FDA issued a Cleared decision on August 26, 2022, 219 days after receiving the submission on January 19, 2022.

This device falls under the Gastroenterology & Urology FDA review panel. Regulated under 21 CFR 876.1500. To Perform Various Diagnostic And Therapeutic Procedures Within The Urinary Tract. For Reusable, Flexible Endoscopes In This Product Code, Validated Reprocessing Instructions And Reprocessing Validation Data Must Be Included In A 510(k) Submission (82 Fr 26807, Available At Https://www.gpo.gov/fdsys/pkg/fr-2017-06-09/pdf/2017-12007.pdf)..

Submission Details

510(k) Number K220159 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received January 19, 2022
Decision Date August 26, 2022
Days to Decision 219 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF

Device Classification

Product Code FGB — Ureteroscope And Accessories, Flexible/rigid
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.1500
Definition To Perform Various Diagnostic And Therapeutic Procedures Within The Urinary Tract. For Reusable, Flexible Endoscopes In This Product Code, Validated Reprocessing Instructions And Reprocessing Validation Data Must Be Included In A 510(k) Submission (82 Fr 26807, Available At Https://www.gpo.gov/fdsys/pkg/fr-2017-06-09/pdf/2017-12007.pdf).

Similar Devices — FGB Ureteroscope And Accessories, Flexible/rigid

All 14
Miniature Telescope for Urology (27033AA)
K253411 · Karl Storz SE & CO. KG · Nov 2025
LithoVue Elite Single-Use Digital Flexible Ureteroscope - Standard with pressure monitoring (M0067940000)
K252703 · Boston Scientific Corporation · Sep 2025
KARL STORZ Flexible Video-Uretero-Renoscope (FLEX XC)
K243550 · Karl Storz SE & CO. KG · Jun 2025
Ambu® aScope™ 5 Uretero (Standard Deflection)
K242108 · Ambu A/S · Aug 2024
KARL STORZ Ped. Cysto-Urethro-Fiberscope (11278AC2)
K241945 · Karl Storz SE & CO. KG · Aug 2024
KARL STORZ Fiber Telescopes for Urology
K233372 · Karl Storz SE & CO. KG · Jul 2024