Cleared Traditional

K912247 - UNIVERSAL COUPLER, LAPAROSCOPIC ACCESSORY
(FDA 510(k) Clearance)

Nov 1991
Decision
176d
Days
Class 2
Risk

K912247 is an FDA 510(k) clearance for the UNIVERSAL COUPLER, LAPAROSCOPIC ACCESSORY. This device is classified as a Laparoscope, General & Plastic Surgery (Class II - Special Controls, product code GCJ).

Submitted by Laser Engineering, Inc. (Milford, US). The FDA issued a Cleared decision on November 13, 1991, 176 days after receiving the submission on May 21, 1991.

This device falls under the General & Plastic Surgery FDA review panel. Regulated under 21 CFR 876.1500. Validated Reprocessing Instructions And Reprocessing Validation Data For This Device Type Must Be Included In A 510(k) Submission If The Device Is Reusable And Has Specific Design Features (please Refer To Table 2 Of 82 Fr 26807, Available At Https://www.gpo.gov/fdsys/pkg/fr-2017-06-09/pdf/2017-12007.pdf)..

Submission Details

510(k) Number K912247 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received May 21, 1991
Decision Date November 13, 1991
Days to Decision 176 days
Submission Type Traditional
Review Panel General & Plastic Surgery (SU)
Summary Statement

Device Classification

Product Code GCJ — Laparoscope, General & Plastic Surgery
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.1500
Definition Validated Reprocessing Instructions And Reprocessing Validation Data For This Device Type Must Be Included In A 510(k) Submission If The Device Is Reusable And Has Specific Design Features (please Refer To Table 2 Of 82 Fr 26807, Available At Https://www.gpo.gov/fdsys/pkg/fr-2017-06-09/pdf/2017-12007.pdf).

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