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FDA Endoscope Clearance Data Analysis 2022–2026

By searching keywords such as “endo,” “scope,” and “scopy” in the 510(k) database and conducting manual screening, a total of 305 endoscope clearance records from the past five years (2022 to April 2026) were identified. Objectively, there may still be incomplete statistics, and the following content is summarized solely based on the above data.
Note: In FDA endoscope registrations, imaging systems are usually registered as a complete system including both the processor and the scope, which differs from China’s NMPA registration approach where processors and scopes are registered separately. Although the data in this article has been reviewed against the Summary documents as thoroughly as possible to ensure accuracy, 100% accuracy cannot be guaranteed.

I. Overall Trend

The trend of FDA endoscope registrations has continued to rise year by year, with a cumulative total of 305 clearances granted.
Among them, Chinese companies obtained 127 clearances (including Mainland China, Hong Kong, Macau, and Taiwan), far exceeding expectations.
The growth trend of endoscope registrations in the United States is generally consistent with the Chinese market, showing steady year-by-year growth; however, the total number remains significantly lower than the current scale of the Chinese domestic market.
510(k) Premarket Notifications bar chart with YoY growth rate line showing a decline in 2026.
The trends for disposable endoscopes and reusable endoscopes in the United States from 2022 to April 2026 are shown in the chart, demonstrating an overall upward trajectory, which is generally consistent with the trend observed in the Chinese market.
Line chart comparing disposable and reusable endoscope usage from 2022 to early 2026, showing trends.

II. Single-use vs. Reusable Endoscopes

  • In the FDA system over the past five years, single-use endoscopes accounted for 56% of registrations, surpassing reusable ones.
Pie chart showing 56% single-use and 44% reusable items.

III. U.S. Endoscope Registration Popularity Ranking (FDA, Past 5 Years)

Here is the translated ranking of endoscope registration trends in the U.S. market:
  • Gastrointestinal (GI) Endoscopes – 82
  • Bronchoscopes – 43
  • Ureteroscopes – 42
  • Cystoscopes – 36
  • Laparoscopes – 20
Bar chart comparing usage frequencies of various medical scopes, with GI Endoscope leading prominently.

IV. Popularity by Clinical Department

High-Trend Registered Departments (U.S.): Gastroenterology, Urology, Pulmonology, and General Surgery.
Bar chart showing department counts; Digestive Med and Urology lead with 88 and 86, respectively.

V. Reusable vs. Disposable by Department (USA)

Top 3 Departments for Reusable Endoscope Popularity:
  1. Gastroenterology (GI)
  2. General Surgery (Laparoscopy, Choledochoscopy)
  3. Urology
Bar chart showing FDA reusable counts by department, with Digestive Med having the highest count.
Top 3 Departments for Disposable Endoscope Popularity:
  1. Urology
  2. Pulmonology / Respiratory Medicine
  3. Gastroenterology (GI)
Bar chart showing disposable item counts by department, with Urology leading and other departments trailing.

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