Single Use Hemoclip

FDA 510(k) K212669 · Zhejiang Chuangxiang Medical Technology Co., Ltd.

Substantially Equivalent

510(k) numberK212669

Submission

Device name
Single Use Hemoclip
Applicant
Zhejiang Chuangxiang Medical Technology Co., Ltd.
Hangzhou, CN
Received
August 23, 2021
Decision date
May 27, 2022
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
PKL – Hemostatic Metal Clip For The Gi Tract
Device class
Class II (moderate risk)
Regulation
21 CFR 876.4400
Specialty
Gastroenterology, Urology
Implant
Yes
Life-sustaining
Yes

Clip placement within the gastrointestinal (GI) tract for the purpose of endoscopic marking, hemostasis for mucosal/sub-mucosal defects, bleeding ulcers, arteries, polyps, diverticula in the colon, prophylactic clipping, anchoring feeding tubes, supplemental closure method of luminal perforations.

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K254069Hemoclip (511 series, 543 series)PKL · Traditional Hangzhou AGS MedTech Co., Ltd.08/10/2026SE
K260580Single Use Reloadable Clip Applicator (HX-810LR, HX-810UR); Clip (HX-610-090…PKL · Traditional Olympus Medical Systems Corp.05/21/2026SE
K252270HemoclipPKL · Traditional Hangzhou AGS MedTech Co., Ltd.04/08/2026SE
K253734Taurus ClipPKL · Traditional Taurus Endoscopy03/12/2026SE
K251562OTSCneo System Set (100.03n-14n, 100.27n-31n)PKL · Traditional Ovesco Endoscopy AG12/18/2025SE
K252271HemoclipPKL · Traditional Hangzhou AGS MedTech Co., Ltd.11/12/2025SE
K250229Dual Action Tissue Closure DevicePKL · Traditional Micro-Tech (Nanjing) Co., Ltd.09/08/2025SE
K250842PADLOCK CLIP EFTR Kit (00713229)PKL · Special STERIS Corporation04/18/2025SE
K250066Resolution Clip (M00522600); Resolution Clip (M00522601); Resolution Clip (M00522602)…PKL · Special Boston Scientific Corporation02/06/2025SE
K241005Haemostasis ClipsPKL · Traditional Jiangxi Zhuoruihua Medical Instrument Co., Ltd.01/02/2025SE

More from Jiangxi Zhuoruihua Medical Instrument Co., Ltd.

510(k)DeviceDecision
K260410Single Use Ureteral Access SheathFED · Special 09/11/2026SE
K253132Single use stone retrieval balloonsFGE · Traditional 03/06/2026SE
K251890Disposable Ureteral StentsFAD · Traditional 02/20/2026SE
K230773Endoscopy Irrigation TubingOCX · Traditional 11/21/2023SE
K231471Air/Water Bottle Tubing, CO2 Source TubingOCX · Traditional 09/08/2023SE
K220063Single Use Cytology BrushFDX · Traditional 07/28/2022SE
K220065Single Use Ureteral Access SheathFED · Traditional 05/25/2022SE
K212668Sclerotherapy NeedleFBK · Traditional 02/23/2022SE
K191900Single Use Grasping ForcepsOCZ · Traditional 03/27/2020SE
K192258Disposable Valve SetsODC · Traditional 12/30/2019SE

Questions and answers

When was Single Use Hemoclip cleared by the FDA?

Single Use Hemoclip (K212669) received a 510(k) decision of Substantially Equivalent on May 27, 2022, 277 days after the submission was received.

What is the product code of K212669?

The FDA product code is PKL – Hemostatic Metal Clip For The Gi Tract, a Class II (moderate risk) device regulated under 21 CFR 876.4400.