Resolution Clip, Resolution 360 Clip, Resolution 360 ULTRA Clip
FDA 510(k) K222503 · Boston Scientific Corporation
510(k) numberK222503
Submission
- Device name
- Resolution Clip, Resolution 360 Clip, Resolution 360 ULTRA Clip
- Applicant
- Boston Scientific Corporation
Marlboro, MA, US - Received
- August 18, 2022
- Decision date
- September 14, 2022
- Decision
- Substantially Equivalent (SESE)
- Type
- Special 510(k)
- Summary
- 510(k) summary available from FDA
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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|---|---|---|---|
| K254069 | Hemoclip (511 series, 543 series)PKL · Traditional | Hangzhou AGS MedTech Co., Ltd. | 08/10/2026SE |
| K260580 | Single Use Reloadable Clip Applicator (HX-810LR, HX-810UR); Clip (HX-610-090…PKL · Traditional | Olympus Medical Systems Corp. | 05/21/2026SE |
| K252270 | HemoclipPKL · Traditional | Hangzhou AGS MedTech Co., Ltd. | 04/08/2026SE |
| K253734 | Taurus ClipPKL · Traditional | Taurus Endoscopy | 03/12/2026SE |
| K251562 | OTSCneo System Set (100.03n-14n, 100.27n-31n)PKL · Traditional | Ovesco Endoscopy AG | 12/18/2025SE |
| K252271 | HemoclipPKL · Traditional | Hangzhou AGS MedTech Co., Ltd. | 11/12/2025SE |
| K250229 | Dual Action Tissue Closure DevicePKL · Traditional | Micro-Tech (Nanjing) Co., Ltd. | 09/08/2025SE |
| K250842 | PADLOCK CLIP EFTR Kit (00713229)PKL · Special | STERIS Corporation | 04/18/2025SE |
| K250066 | Resolution Clip (M00522600); Resolution Clip (M00522601); Resolution Clip (M00522602)…PKL · Special | Boston Scientific Corporation | 02/06/2025SE |
| K241005 | Haemostasis ClipsPKL · Traditional | Jiangxi Zhuoruihua Medical Instrument Co., Ltd. | 01/02/2025SE |
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| K261488 | OBSIDIO Conformable EmbolicKRD · Traditional | 07/24/2026SE |
| K261978 | WallFlex Esophageal Stent System;Agile Esophageal Over-the-Wire (OTW) Stent SystemESW · Special | 07/10/2026SE |
Questions and answers
When was Resolution Clip, Resolution 360 Clip, Resolution 360 ULTRA Clip cleared by the FDA?
Resolution Clip, Resolution 360 Clip, Resolution 360 ULTRA Clip (K222503) received a 510(k) decision of Substantially Equivalent on September 14, 2022, 27 days after the submission was received.
What is the product code of K222503?
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.