Recorded device evidence

SurroundScope System (K210104): indications, design and recorded evidence

The acquired K210104 file contains product-specific indications and users, design and operating principle, non-clinical evidence actually described sections. Compare these dated manufacturer statements with your own indication and design before commissioning evidence work. They describe this submission; they do not prescribe your testing, validate performance independently or establish a suitable predicate.

Evidence retrieved 2026-10-07. Source versions and topic-specific limits are listed below.

Computed exact-code research

This decision beside its recorded product-code cohort

The 2021–2025 complete-year cohort contains 7 selected decisions under primary code HET. 7 have valid reported receipt/decision pairs; 0 pairs are missing or invalid.

No quartiles are displayed: this complete-year cohort has fewer than 20 valid pairs.

The table shows the named decision and up to four latest exact-code research records through 2026-09-27. It can include partial-year records outside the complete-year cohort. The quartiles above use the full stated cohort, not this displayed selection.

Research recordRecorded deviceReceipt → decisionCalendar elapsed daysRecorded submission type
K210104 ↗ · this pageSurroundScope System2021-01-14 → 2021-07-08175Traditional
K250939 ↗SIRIUS Endoscope System (PR-SI-1230)2025-03-28 → 2025-08-29154Traditional
K243821 ↗i-Cut2024-12-12 → 2025-04-25134Traditional
K221642 ↗SIRIUS Endoscope System2022-06-06 → 2022-12-12189Traditional
K210116 ↗Video Endoscopy System, 3D Video Endoscopy System2021-01-19 → 2021-10-13267Traditional

Use this comparison: select a record to investigate, read its actual indications and design, and document differences. A shared code or elapsed period cannot establish its relevance to your device.

Calendar elapsed days are not active FDA review time, a promised schedule or a success probability. The selection includes only the stated recorded decisions, not all applications. Latest records can postdate the named historical decision and are contextual research, not its predicates. Shared codes, summaries and observed records do not prove equivalence, current market availability, buyer applicability or predicate suitability.

Calculation, selection and source versions

Reuse the complete-endpoint exact-primary-code, documented SE-decision cohort and its stated cutoff/window. Retain its type-7 quartiles only when at least 20 valid date pairs are present. Independently subtract the named official record’s receipt date from its decision date; missing or negative pairs remain unknown. Show up to four latest exact-code research records, excluding the named ID. Parent analysis hash, source snapshots and calculation versions are retained.

Calculation: fda-named-decision-cohort-context-1; cutoff 2026-09-27; 0 parent records excluded; units record counts; calendar elapsed days.

Source snapshots: 5a86994ba49a37e71e09be96803fd51981c6c43eaa96caab41aea2b188bfe002.

Read beyond the decision row

Recorded evidence and differences to investigate

The summary is manufacturer-submitted context hosted by FDA. Negative/no-study statements are preserved. Evidence themes are not binding legal requirements.

Short opening excerpts identify the source sections. Read the linked original for the full study context, negative statements, tables and limitations. Public quotations are limited to 120 words per acquired summary; the internal evidence packet retains exact section ranges for review.

Indications and users

K210104 · PDF page 5 ↗ Source 2

Read this statement in the original PDF; no complete statement fits the short excerpt.

Compare with your product: Compare the recorded indication, population, body site and use environment with your proposed label. Record each change instead of assuming the primary code settles intended use.

Design and operating principle

K210104 · PDF page 4 ↗ Source 3

The   SurroundScope   System (SS) is an endoscopic platform for visualization during surgery.
The SS System is a modification of the previously cleared WV1 Endoscope          (K190190)
developed by 270Surgical.

The excerpt is shortened at a complete statement. Read the complete section in the original PDF before interpreting the evidence.

Compare with your product: Compare physical design, materials, energy, accessories and operating principle with your design. Ask which documented differences change the evidence scope.

Non-clinical evidence actually described

K210104 · PDF page 8 ↗ Source 4

•                                       Optical Performance:                                                                                             Optical testing was done to verify field of view, depth of field,
               direction of view, signal-noise ratio, non-uniformity,     and                                                                       distortion, according to ISO
               8600-1: 2015, ISO 8600-3:   2019; and ISO 8600-5:                                                                                                                                                                                                                                                                                                                                                                                                                      2005.

The excerpt is shortened at a complete statement. Read the complete section in the original PDF before interpreting the evidence.

Compare with your product: Treat these as documented evidence themes in this case, including any limitations or negative statements. Ask which protocols, design inputs and acceptance rationale would be justified for your product; these excerpts are not a mandatory test panel.

Extraction selection and limits

Select observed whole-line section headings or explicit colon-delimited inline labels on readable PDF pages, including the explicitly documented heading-spacing variants in this parser version. Preserve the original heading, character ranges and layout; do not repair excerpt text. Exclude letter boilerplate and uncertain pages. Stop at observed table headings; do not infer table columns or scalar results from layout text. Multi-column or suspicious split-numeric excerpts are excluded until reviewed alternate extraction is available. Original layout records remain retained; any alternate text has its own extractor-version locator and requires original-page review. For each dimension, prefer usable versioned alternate text where available, selecting its longest usable excerpt; otherwise select the longest usable original-layout excerpt. Ties preserve source order. Bounded to 64 PDF pages and 3,500 characters per section. This is a selection, not a complete dossier analysis.

Excluded extraction items: {}.

Historical references beside dated FDA recognition metadata

Read each mention in the linked original summary, including statements that testing was not performed. Recognition metadata does not determine your testing needs, chosen edition or transition eligibility.

Reference in this historical summaryDesignation in the acquired FDA exportRecognition / entry dateRecorded transition-expiration dateSources
ISO 8600-1
Bench Testing
ISO 8600-1 Fourth Edition 2015-10-15
Endoscopes - Medical endoscopes and endotherapy devices -- Part 1: General requirements
9-110 · Complete
04/04/2016
Not recorded in this export rowSummary [4] · Metadata [5]
Read scope and recognition limits ↗
ISO 8600-3
Bench Testing
ISO 8600-3 Second edition 2019-08
Endoscopes - Medical endoscopes and endotherapy devices Part 3: Determination of field of view and direction of view of endoscopes with optics.
9-123 · Partial
12/23/2019
Not recorded in this export rowSummary [4] · Metadata [6]
Read scope and recognition limits ↗
ISO 8600-5
Bench Testing
ISO 8600-5 Second Edition 2020-10
Optics and photonics - Medical endoscopes and endotherapy devices - Part 5: Determination of optical resolution of rigid endoscopes with optics
9-131 · Complete
06/07/2021
Not recorded in this export rowSummary [4] · Metadata [7]
Read scope and recognition limits ↗
IEC 62471:2006
Bench Testing
IEC 62471 First edition 2006-07
Photobiological safety of lamps and lamp systems
12-249 · Complete
08/20/2012
Not recorded in this export rowSummary [4] · Metadata [8]
Read scope and recognition limits ↗

Prepare for your provider: the proposed protocol/report edition, its justification for your device and the complete current FDA recognition sheet. In particular, inspect exclusions for partial recognition. An edition difference does not automatically make the historical evidence unusable.

Identifier-matching method and selection limits

Match explicit ISO/IEC identifiers in selected preserved summary excerpts to the acquired, count-reconciled FDA metadata export. Preserve the historical edition mention, current snapshot designations, entry dates, recognition extent and any recorded transition-expiration date as separate facts. No title-similarity, edition-equivalence, test-mandate or transition-eligibility inference. At most twenty matched occurrences and thirty metadata rows per reference; wide matches are held for separate review.

4 of 4 matched reference occurrences shown.

Known facts and deciding inputs

Known context: US. Confirm the organisation’s role, relevant activities and markets against the cited criteria.

Source factRecorded valueWhat to check
510(k) identifierK210104 [1]Dated official record fact; not proof of current commercial availability or applicability to another device.
Generic device categorySurroundScope System [1]Dated official record fact; not proof of current commercial availability or applicability to another device.
Recorded applicant270surgical , Ltd. [1]Dated official record fact; not proof of current commercial availability or applicability to another device.
FDA product codeHET [1]Dated official record fact; not proof of current commercial availability or applicability to another device.
Decision date2021-07-08 [1]Dated official record fact; not proof of current commercial availability or applicability to another device.
Recorded decision codeSESE [1]Dated official record fact; not proof of current commercial availability or applicability to another device.
Submission typeTraditional [1]Dated official record fact; not proof of current commercial availability or applicability to another device.
Receipt date2021-01-14 [1]Dated official record fact; not proof of current commercial availability or applicability to another device.

Prepare a differences and evidence worksheet

Use this checklist to gather your business or product details before speaking with a specialist. The items below explain what to record and suggest useful supporting documents. You can add your own answers in the editable project brief.

  1. Indications and users — what differs in our product?

    Compare the recorded indication, population, body site and use environment with your proposed label. Record each change instead of assuming the primary code settles intended use.

    Useful evidence: Our proposed indication, user/population and use environment beside this exact recorded indication.

  2. Design and operating principle — what differs in our product?

    Compare physical design, materials, energy, accessories and operating principle with your design. Ask which documented differences change the evidence scope.

    Useful evidence: Design description, materials/components, accessory list and a differences matrix.

  3. Non-clinical evidence actually described — what differs in our product?

    Treat these as documented evidence themes in this case, including any limitations or negative statements. Ask which protocols, design inputs and acceptance rationale would be justified for your product; these excerpts are not a mandatory test panel.

    Useful evidence: Existing protocols/results and design-specific evidence gaps, with standard editions and scope reviewed separately.

  4. Which edition and recognition limits would our provider rely on?

    Compare each historical reference below with the dated FDA metadata. Ask the specialist to justify the applicable scope and selected edition, read the complete supplementary sheet for partial-recognition exclusions, and investigate any recorded transition conditions. A difference in editions does not automatically make the earlier study unusable.

    Useful evidence: Proposed protocol/report edition, dated FDA recognition sheet with scope/exclusions, and a documented edition/transition rationale for the actual device.

Work packages and dependencies

Questions for providers

Sources and data dates

Read the official document in context. The audit details identify the precise locators and preserved versions used for this page.

FDA openFDA — 510(k) decision records ↗

2026-10-05 · retrieved 2026-10-06

Audit details: precise locators and snapshot identifiers

Source key D01 · snapshot 5a86994ba49a37e71e09be96803fd51981c6c43eaa96caab41aea2b188bfe002

  • [1] device-510k-0001-of-0001.json:results[33942] · record 92ea91aea875b4af134478b14396e07b8ac049458fe91c5766b6a674231f9650
  • [9] Complete results array / fda-decision-context:K210104 · record whole dataset partition

FDA 510(k) summary — K210104 ↗

Sat, 10 Jul 2021 00:00:16 GMT · retrieved 2026-10-07

Audit details: precise locators and snapshot identifiers

Source key D02 · snapshot 818f0bc866f659f98b601aea0a9d0300984f36f83fdbde98b083f6ca35b87e01

  • [2] PDF page 5 · record a4233558088af817243b2d3f084808ffe749a643176f70b6b774877561a7eaff
  • [3] PDF page 4 · record 24390a10856f1646986c3f4dbf7de4bc7bbde5792f8d50bb7f0bfb5036438d61
  • [4] PDF page 8 · record 64afe1113a76337f1089f8cc13824c73609b1a6d08b2e97a0e83045cb03d5c89

FDA — recognition metadata exported through the official search form ↗

Version not stated by the source · retrieved 2026-10-07

Audit details: precise locators and snapshot identifiers

Source key D02 · snapshot 94ccf56dc846c7f6d78d6ad77dc6e87d1803ac3612af01d6894949e34c4a78d8

  • [5] CSV row 1536 · record 3911cc71f3f46a7d41e81c51791969fad4a493e5b280d5f94fbb56c3efe76253
  • [6] CSV row 1043 · record b1f73a1a38402c113d0e06b3c1dd523fe5568f56d0fa06a447f5186296ed7bed
  • [7] CSV row 808 · record 6642f2798e30af1fe7e670c520e018e226432adfe6e6b7c58a50e5375bac0d32
  • [8] CSV row 1802 · record 042889e5ae1f822138e1176a05330c649a25a2c91cb5a20c6ece7f29f9ab7f56

Prepare an editable project brief

Confirm the facts, scope and contact preference before sharing your project. Preparing this page sends no provider outreach.

Choose work packages to discuss

Compare FDA 510(k) Submission Services