H1

FDA 510(k) K222504 · Karl Storz Endoscopy America, Inc.

Substantially Equivalent

510(k) numberK222504

Submission

Device name
H1
Applicant
Karl Storz Endoscopy America, Inc.
El Segundo, CA, US
Received
August 18, 2022
Decision date
November 10, 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
GCJ – Laparoscope, General & Plastic Surgery
Device class
Class II (moderate risk)
Regulation
21 CFR 876.1500
Specialty
Gastroenterology, Urology

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).

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K261249Universal Seal (5-12 mm)GCJ · Traditional Intuitive Surgical, Inc.07/14/2026SE
K260710FloShield Air System (FSS-01-1000T - 10mm, 0 Degree FloShield Air, FSS-02-1030T - 10mm…GCJ · Traditional FloShield, Inc.06/11/2026SE
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K253994TroKit Laparoscope Lens WiperGCJ · Traditional TroCare, LLC06/04/2026SE

More from TroCare, LLC

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K252624KARL STORZ Laryngoscopes and AccessoriesEQN · Traditional 05/15/2026SE
K240506KARL STORZ HoldersOCV · Traditional 10/22/2024SE
K223885HOPKINS TelescopesHIH · Traditional 09/14/2023SE
K230359KOH Ultramicro Injection Cannula (26167NN); Suction a. Irrig. Cannula,L. 36cm (37360CP)…GCJ · Traditional 06/23/2023SE
K223520UNIDRIVE SIII SystemHIH · Traditional 04/27/2023SE
K223923HOPKINS TelescopesGCJ · Traditional 03/30/2023SE
K221893KARL STORZ Bipolar Resectoscopes with HF CableFJL · Traditional 03/17/2023SE
K221004HOPKINS TelescopesGCJ · Traditional 12/20/2022SE
K213194HD MediastinoscopeEWY · Traditional 06/23/2022SE
K221174Telepack +FET · Special 05/13/2022SE

Questions and answers

When was H1 cleared by the FDA?

H1 (K222504) received a 510(k) decision of Substantially Equivalent on November 10, 2022, 84 days after the submission was received.

What is the product code of K222504?

The FDA product code is GCJ – Laparoscope, General & Plastic Surgery, a Class II (moderate risk) device regulated under 21 CFR 876.1500.