Cleared Special

K042960 - GIVEN DIAGNOSTIC SYSTEM WITH PILLCAM ESO (FDA 510(k) Clearance)

Nov 2004
Decision
28d
Days
Class 2
Risk

K042960 is an FDA 510(k) clearance for the GIVEN DIAGNOSTIC SYSTEM WITH PILLCAM ESO. This device is classified as a System, Imaging, Esophageal, Wireless, Capsule (Class II - Special Controls, product code NSI).

Submitted by Given Imaging , Ltd. (Yokneam, IL). The FDA issued a Cleared decision on November 24, 2004, 28 days after receiving the submission on October 27, 2004.

This device falls under the Gastroenterology & Urology FDA review panel. Regulated under 21 CFR 876.1300. The Capsule Is A Disposable, Ingestible Capsule Designed To Acquire Video Images Of The Esophagus. The Capsule Transmits The Acquired Images Via Rf Communication Channel To A Data Recorder Located Outside The Body. The Diagnostic Imaging System Is Intended For Visualization Of The Esophagus Rather Than The Small Bowel..

Submission Details

510(k) Number K042960 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received October 27, 2004
Decision Date November 24, 2004
Days to Decision 28 days
Submission Type Special
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF

Device Classification

Product Code NSI — System, Imaging, Esophageal, Wireless, Capsule
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.1300
Definition The Capsule Is A Disposable, Ingestible Capsule Designed To Acquire Video Images Of The Esophagus. The Capsule Transmits The Acquired Images Via Rf Communication Channel To A Data Recorder Located Outside The Body. The Diagnostic Imaging System Is Intended For Visualization Of The Esophagus Rather Than The Small Bowel.

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