Cleared Traditional

K924011 - ORIGIN BLUNT TIP SURGICAL TROCAR

K924011 is an FDA 510(k) clearance for ORIGIN BLUNT TIP SURGICAL TROCAR, manufactured by Origin Medsystems, Inc.. The device is a Class 2 General & Plastic Surgery device with product code GCJ cleared through the Traditional 510(k) pathway after a 333-day FDA review.

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Jul 1993
Decision
333d
Days
Class 2
Risk

K924011 is an FDA 510(k) clearance for the ORIGIN BLUNT TIP SURGICAL TROCAR. Classified as Laparoscope, General & Plastic Surgery (product code GCJ), Class II - Special Controls.

Submitted by Origin Medsystems, Inc. (Menlo Park, US). The FDA issued a Cleared decision on July 9, 1993 after a review of 333 days - an unusually long review period, suggesting complex equivalence evaluation.

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 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. Elevated predicate reliance profile. This clearance follows a standard predicate-based equivalence path within the General & Plastic Surgery review framework, consistent with the majority of Class II 510(k) submissions.

View all Origin Medsystems, Inc. devices

FDA 510(k) Submission Details - K924011

510(k) Number K924011 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received August 10, 1992
Decision Date July 09, 1993
Days to Decision 333 days
Submission Type Traditional
Review Panel General & Plastic Surgery (SU)
Summary Statement
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
218d slower than avg
Panel avg: 115d · This submission: 333d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

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 723
Devices cleared under the same product code (GCJ) and FDA review panel - the closest regulatory comparables to K924011.
INTHERM SINGLE-STICK RADIALLY EXPANDING DILATOR
K931278 · Interventional Therapeutics Corp. · Jul 1993
MICRO ENDOSCOPIC ELECTRODE (ME2)
K931281 · Codman & Shurtleff, Inc. · Jul 1993
ENDOSCOPIC UMBRELLA RETRACTOR
K930462 · Surgical Technologies, Inc. · Jul 1993
TROCAR SHEATH ANCHOR
K930301 · Origin Medsystems, Inc. · Jul 1993
DAVIS+GECK ABSORBABLE LIGATING DEVICE
K925602 · Davis & Geck, Inc. · Jul 1993
ENDOPATH ENDOSCOPIC TISSUE RETRACTOR
K924916 · Ethicon Endo-Surgery, Inc. · Jun 1993