Cleared Traditional

K914112 - METAL URETERAL BASKET STONE DISLODGER, FLAT WIRE
(FDA 510(k) Clearance)

Feb 1992
Decision
168d
Days
Class 2
Risk

K914112 is an FDA 510(k) clearance for the METAL URETERAL BASKET STONE DISLODGER, FLAT WIRE. This device is classified as 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 FDA review panel. Regulated under 21 CFR 876.4680.

Submission Details

510(k) Number K914112 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (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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