Cleared Traditional

PENTAX Medical Video Upper GI Scopes EG17-J10

K210177 · Pentax of America, Inc. · Gastroenterology & Urology
Oct 2021
Decision
271d
Days
Class 2
Risk

About This 510(k) Submission

K210177 is an FDA 510(k) clearance for the PENTAX Medical Video Upper GI Scopes EG17-J10, a Gastroscope And Accessories, Flexible/rigid (Class II — Special Controls, product code FDS), submitted by Pentax of America, Inc. (Montvale, US). The FDA issued a Cleared decision on October 20, 2021, 271 days after receiving the submission on January 22, 2021. This device falls under the Gastroenterology & Urology review panel. Regulated under 21 CFR 876.1500.

Submission Details

510(k) Number K210177 FDA.gov
FDA Decision Cleared SESE
Date Received January 22, 2021
Decision Date October 20, 2021
Days to Decision 271 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF

Device Classification

Product Code FDS — Gastroscope And Accessories, Flexible/rigid
Device Class Class II — Special Controls
CFR Regulation 21 CFR 876.1500
Definition To Examine Or Perform Procedures In The Stomach. For Reusable, Flexible Endoscopes In This Product Code, Validated Reprocessing Instructions And Reprocessing Validation Data Must Be Included In A 510(k) Submission (82 Fr 26807, Available At Https://www.gpo.gov/fdsys/pkg/fr-2017-06-09/pdf/2017-12007.pdf).

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