Cleared Traditional

K872714 - S.T.A.C.E.M. EXTERNAL BREAST PROSTHESIS MAMMARY
(FDA 510(k) Clearance)

Jul 1987
Decision
11d
Days
Class 1
Risk

K872714 is an FDA 510(k) clearance for the S.T.A.C.E.M. EXTERNAL BREAST PROSTHESIS MAMMARY. This device is classified as a Material, External Aesthetic Restoration, Used With Adhesive (Class I - General Controls, product code GBI).

Submitted by Roseburg SA (Washington, US). The FDA issued a Cleared decision on July 21, 1987, 11 days after receiving the submission on July 10, 1987.

This device falls under the General & Plastic Surgery FDA review panel. Regulated under 21 CFR 878.3800.

Submission Details

510(k) Number K872714 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received July 10, 1987
Decision Date July 21, 1987
Days to Decision 11 days
Submission Type Traditional
Review Panel General & Plastic Surgery (SU)
Summary

Device Classification

Product Code GBI — Material, External Aesthetic Restoration, Used With Adhesive
Device Class Class I - General Controls
CFR Regulation 21 CFR 878.3800

Similar Devices — GBI Material, External Aesthetic Restoration, Used With Adhesive

All 16
FACTOR II PROSTHETIC SILICONE ELASTOMER
K880329 · Factor, Ii, Inc. · Jun 1988
AHH NATURAL BREAST FORM
K874279 · Pacific Prosthetics, Inc. · Oct 1987
AMOENA BREAST FORMS
K864785 · Coloplast Corp. · Jan 1987
PERSONALLY(TM), MODEL 241 SIZES 0-12,LEFT & RIGHT
K864786 · Coloplast Corp. · Jan 1987
AMOENA BREAST FORMS
K853822 · Coloplast Corp. · Sep 1985
PROSTHESIS OR SURGICAL PADS
K851668 · Virginia Hall, Inc. · Jun 1985