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# Endoscopy Devices

Flexible and rigid scopes plus accessories used for visualization, diagnosis, and therapy inside the GI tract, airways, urinary tract, and joints.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 9, 2026 

## Definition

The endoscopy segment covers flexible video gastroscopes, colonoscopes, duodenoscopes, bronchoscopes, ureteroscopes, and rigid arthroscopes, together with the light sources, processors, capnography, insufflators, and single-use accessories (snares, biopsy forceps, hemoclips) that complete a procedure. The market splits between reusable scopes (capital + reprocessing) and a fast-growing single-use segment driven by infection-control concerns following duodenoscope-associated CRE outbreaks (FDA 2015-2019 safety communications). 

What the regulation says

Most flexible endoscopes are Class II 510(k) devices under 21 CFR 876 (gastroenterology-urology) or 874 (ENT). FDA's reprocessing guidance and the duodenoscope safety communications materially changed expectations for reprocessing validation, single-use components (caps, elevators), and  [post-market surveillance](/terms/post-market-surveillance) studies (522 orders). 

## What this means in practice

Single-use scopes (Ambu, Boston Scientific Exalt) and disposable elevator caps reset the segment's economics. AI-assisted polyp detection (CADe) is now a major sub-segment with multiple FDA-cleared products (e.g., GI Genius, Endoscreener). 

Common pitfalls

-   • Underestimating reprocessing validation requirements, FDA expects multi-cycle worst-case soiling validation. 
-   • Treating an AI overlay as a feature rather than a separate SaMD requiring its own clearance. 
-   • Ignoring FDA 522 post-market surveillance orders applicable to duodenoscopes. 

## Frequently asked questions

Why did FDA push duodenoscope makers toward single-use designs? 

Repeated CRE and other multidrug-resistant infection outbreaks tied to incomplete reprocessing of the elevator mechanism led FDA to recommend transition to disposable-component or fully single-use designs in 2019. 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Market Segments

Single-Use Device(SUD) 

A device the original manufacturer labels for one use or one patient, distinct from reusable devices and from FDA-regulated reprocessed SUDs.





](/terms/single-use-device)[

Regulatory

510(k) Premarket Notification(510(k)) 

FDA submission demonstrating a device is substantially equivalent to a legally marketed predicate.





](/terms/510k)[

Post-Market

Post-Market Surveillance(PMS) 

Activities to monitor device safety and performance after market release.





](/terms/post-market-surveillance)[

Software & AI

Software as a Medical Device(SaMD) 

Software intended for medical purposes that performs without being part of a hardware device.





](/terms/samd)

### More in Market Segments

· Same category 

[

Market Segments

Aesthetic & Energy-Based Devices

Lasers, RF, ultrasound, cryolipolysis, and IPL systems used for medical and cosmetic indications, body contouring, hair removal, skin tightening, vascular lesions.





](/terms/aesthetics-energy-devices)[

Market Segments

AI Imaging Software

Software that analyzes medical images to triage, detect, or quantify disease.





](/terms/ai-imaging)[

Market Segments

Cardiac Rhythm Management(CRM) 

Implantable and external devices that monitor and treat cardiac arrhythmias, pacemakers, ICDs, CRT devices, and insertable cardiac monitors.





](/terms/cardiac-rhythm-management)[

Market Segments

Cardiovascular Devices

Devices for diagnosing, monitoring, or treating cardiovascular disease.





](/terms/cardiovascular)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Strategic Landscape](/ecosystems/strategic-landscape)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

FDA· 1 eCFR· 1 MedTech Dive· 1 

1.  [1 
    
    FDA, Duodenoscope Reprocessing
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/medical-devices/reprocessing-reusable-medical-devices/infections-associated-reprocessed-duodenoscopes)
2.  [2 
    
    21 CFR 876 Gastroenterology-Urology Devices
    
    Verified 
    
    eCFR · ecfr.gov 
    
    
    
    ](https://www.ecfr.gov/current/title-21/chapter-I/subchapter-H/part-876)
3.  [3 
    
    MedTech Dive
    
    Verified 
    
    MedTech Dive · medtechdive.com 
    
    
    
    ](https://www.medtechdive.com/)

Inline markers like \[1\]  jump to the matching reference above.

Sponsor note

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On this term

Category

Market Segments

Sources

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Updated

5/9/2026

[Compare with another term](/compare?a=endoscopy-devices)

Learn in 60 seconds

Card Lesson Quiz

Flexible and rigid scopes plus accessories used for visualization, diagnosis, and therapy inside the GI tract, airways, urinary tract, and joints.

-   · Single-use scopes (Ambu, Boston Scientific Exalt) and disposable elevator caps reset the segment's economics. 
-   · AI-assisted polyp detection (CADe) is now a major sub-segment with multiple FDA-cleared products (e.g., GI Genius, Endoscreener). 

Remember this

Watch out: Underestimating reprocessing validation requirements, FDA expects multi-cycle worst-case soiling validation.

Related terms

-   [Software as a Medical Device(SaMD) ](/terms/samd)
-   [510(k) Premarket Notification(510(k)) ](/terms/510k)
-   [Post-Market Surveillance(PMS) ](/terms/post-market-surveillance)
-   [Single-Use Device(SUD) ](/terms/single-use-device)

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