Cleared Traditional

Web II Memory Extraction Basket or Memory II Double Lumen Extraction Basket, Memory 5 Fr. Soft Wire Baskets or Memory Helical Stone Extractor, Memory Eight Wire Baskets or Memory Hard Wire Baskets, Fusion Wire Guided Extraction Basket, Non-Lithotripsy Extraction Basket

K171969 · Wilson-Cook Medical, Inc. · Gastroenterology & Urology
Mar 2018
Decision
271d
Days
Class 2
Risk

About This 510(k) Submission

K171969 is an FDA 510(k) clearance for the Web II Memory Extraction Basket or Memory II Double Lumen Extraction Basket, Memory 5 Fr. Soft Wire Baskets or Memory Helical Stone Extractor, Memory Eight Wire Baskets or Memory Hard Wire Baskets, Fusion Wire Guided Extraction Basket, Non-Lithotripsy Extraction Basket, a Dislodger, Stone, Biliary (Class II — Special Controls, product code LQR), submitted by Wilson-Cook Medical, Inc. (Winstrom-Salem, US). The FDA issued a Cleared decision on March 28, 2018, 271 days after receiving the submission on June 30, 2017. This device falls under the Gastroenterology & Urology review panel. Regulated under 21 CFR 876.5010.

Submission Details

510(k) Number K171969 FDA.gov
FDA Decision Cleared SESE
Date Received June 30, 2017
Decision Date March 28, 2018
Days to Decision 271 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF

Device Classification

Product Code LQR — Dislodger, Stone, Biliary
Device Class Class II — Special Controls
CFR Regulation 21 CFR 876.5010

Similar Devices — LQR Dislodger, Stone, Biliary

All 36
Single Use Retrieval Basket V FG-V421PR/V422PR/V431P/V432P
K243807 · Olympus Medical Systems Corp. · Mar 2025
Extraction Basket
K243471 · Micro-Tech (Nanjing) Co., Ltd. · Dec 2024
Single-use Extraction Baskets
K240192 · Scivita Medical Technology Co., Ltd. · Oct 2024
Stone Extraction Baskets
K230598 · Jiangsu Vedkang Medical Science and Technology Co., Ltd. · Sep 2023
SpyGlass Discover Retrieval Basket
K203322 · Boston Scientific Corporation · May 2021
Disposable Stone Extraction basket
K201509 · Hangzhou AGS MedTech Co., Ltd. · Dec 2020