Cleared Traditional

K221784 - Single-use Video Pancreaticobiliary Scope

K221784 is the FDA 510(k) clearance for Single-use Video Pancreaticobiliary Scope by Micro-Tech (Nanjing) Co., Ltd.. It is a Class 2 Gastroenterology & Urology device (product code FBN) cleared through the Traditional 510(k) pathway after a 240-day FDA review.

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Feb 2023
Decision
240d
Days
Class 2
Risk

K221784 is an FDA 510(k) clearance for the Single-use Video Pancreaticobiliary Scope, PB Digital Controller. Classified as Choledochoscope And Accessories, Flexible/rigid (product code FBN), Class II - Special Controls.

Submitted by Micro-Tech (Nanjing) Co., Ltd. (Nanjing, CN). The FDA issued a Cleared decision on February 16, 2023 after a review of 240 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 Micro-Tech (Nanjing) Co., Ltd. devices

Submission Details

510(k) Number K221784 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received June 21, 2022
Decision Date February 16, 2023
Days to Decision 240 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
110d slower than avg
Panel avg: 130d · This submission: 240d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

Device Classification

Product Code FBN Choledochoscope And Accessories, Flexible/rigid
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 876.1500
Definition To Examine And Perform Procedures Within The Bile Ducts. 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).
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 - FBN Choledochoscope And Accessories, Flexible/rigid

All 34
Devices cleared under the same product code (FBN) and FDA review panel - the closest regulatory comparables to K221784.
Flexible Choledochoscope (Model: CS50H-20EU, CS50H-20US)
K231105 · Shanghai AnQing Medical Instrument Co., Ltd. · Oct 2023
Pusen Single Use Flexible Video Cystoscope/Choledochoscope System (Single Use Flexible Video Cystoscope/Choledochoscope:PC200-AS, PC200-AR, PC200-S and PC200-R
K223741 · Zhuhai Pusen Medical Technology Co., Ltd. · Jun 2023
Flexible Video-Choledochoscope System
K222261 · Shanghai SeeGen Photoelectric Technology Co., Ltd. · Apr 2023
SpyGlass Discover Digital Catheter, SpyGlass Discover Digital Controller
K200483 · Boston Scientific Corporation · May 2020
SpyScope DS Access and Delivery Catheter, SpyScope DS II Access and Delivery Catheter, SpyGlass DS Digital Controller
K183636 · Boston Scientific Corporation · Jan 2019
SpyGlass DS and DS II Direct Visualization System
K181439 · Boston Scientific Corporation · Aug 2018