Hemoclip

FDA 510(k) K213143 · Hangzhou AGS MedTech Co., Ltd.

Substantially Equivalent

510(k) numberK213143

Submission

Device name
Hemoclip
Applicant
Hangzhou AGS MedTech Co., Ltd.
Hangzhou, CN
Received
September 27, 2021
Decision date
July 12, 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.

Other 510(k)s with product code PKL

510(k)DeviceApplicantDecision
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
K254069Hemoclip (511 series, 543 series)PKL · Traditional 08/10/2026SE
K253393Single-use Balloon Dilatation Catheter (AG-5251-083018 AG-5251-085518 AG-5251-088018…FGE · Traditional 06/24/2026SE
K252270HemoclipPKL · Traditional 04/08/2026SE
K252271HemoclipPKL · Traditional 11/12/2025SE
K241704Endoscopic Water PumpOCX · Traditional 03/20/2025SE
K222421SphincterotomeKNS · Traditional 05/03/2023SE
K221713Polypectomy SnareFDI · Traditional 03/03/2023SE
K213578Balloon Dilatation CatheterFDF · Traditional 04/06/2022SE
K211787HemoclipPKL · Traditional 03/03/2022SE
K210406Bipolar Coagulation ForecepsKGE · Traditional 10/05/2021SE

Questions and answers

When was Hemoclip cleared by the FDA?

Hemoclip (K213143) received a 510(k) decision of Substantially Equivalent on July 12, 2022, 288 days after the submission was received.

What is the product code of K213143?

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.