Cleared Traditional

METAL URETERAL BASKET STONE DISLODGER, HELICAL

K914111 · Annex Medical, Inc. · Gastroenterology & Urology
Feb 1992
Decision
168d
Days
Class 2
Risk

About This 510(k) Submission

K914111 is an FDA 510(k) clearance for the METAL URETERAL BASKET STONE DISLODGER, HELICAL, a Dislodger, Stone, Flexible (Class II — Special Controls, product code FGO), submitted by Annex Medical, Inc. (Eden Prairie, US). The FDA issued a Cleared decision on February 28, 1992, 168 days after receiving the submission on September 13, 1991. This device falls under the Gastroenterology & Urology review panel. Regulated under 21 CFR 876.4680.

Submission Details

510(k) Number K914111 FDA.gov
FDA Decision Cleared SESE
Date Received September 13, 1991
Decision Date February 28, 1992
Days to Decision 168 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF

Device Classification

Product Code FGO — Dislodger, Stone, Flexible
Device Class Class II — Special Controls
CFR Regulation 21 CFR 876.4680

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