Cleared Traditional

K021142 - ALL SILICONE HEMATURIA CATHETER, MODELS 4861, 4862, 4863, 4864, 4865
(FDA 510(k) Clearance)

Oct 2002
Decision
175d
Days
Class 2
Risk

K021142 is an FDA 510(k) clearance for the ALL SILICONE HEMATURIA CATHETER, MODELS 4861, 4862, 4863, 4864, 4865. This device is classified as a Catheter, Retention Type, Balloon (Class II - Special Controls, product code EZL).

Submitted by Fortune Medical Instrument Corp. (Taipei Hsien, TW). The FDA issued a Cleared decision on October 1, 2002, 175 days after receiving the submission on April 9, 2002.

This device falls under the Gastroenterology & Urology FDA review panel. Regulated under 21 CFR 876.5130.

Submission Details

510(k) Number K021142 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received April 09, 2002
Decision Date October 01, 2002
Days to Decision 175 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Statement

Device Classification

Product Code EZL — Catheter, Retention Type, Balloon
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.5130

Similar Devices — EZL Catheter, Retention Type, Balloon

All 127
Rusch SoftSimplastic Foley Catheters
K252537 · Teleflex Medical Sdn. Bhd. · Jan 2026
Silicone Urethral Catheter (Silicone Urethral Catheter)
K243011 · Guangdong Ecan Medical Co., Ltd. · Jun 2025
InnoCare Specialty Foley Catheter
K241424 · Innocare Urologics, LLC · Sep 2024
R?sch Latex Gold Foley Catheter
K232469 · Teleflexmedical, Inc. · Aug 2024
TraumaGuard Intra-abdominal Pressure Sensing System
K240057 · Sentinel Medical Technologies, LLC · Apr 2024
Folysil Silicone Catheter
K233411 · Coloplast Corp. · Apr 2024