Cleared Traditional

K040494 - CAPSULE DELIVERY DEVICE, 160CM, MODEL 711143 (FDA 510(k) Clearance)

Also includes:
CAPSULE DELIVERY DEVICE, 210CM, MODEL 711144
Jun 2004
Decision
118d
Days
Class 2
Risk

K040494 is an FDA 510(k) clearance for the CAPSULE DELIVERY DEVICE, 160CM, MODEL 711143. This device is classified as a System, Imaging, Gastrointestinal, Wireless, Capsule (Class II - Special Controls, product code NEZ).

Submitted by United States Endoscopy Group, Inc. (Mentor, US). The FDA issued a Cleared decision on June 23, 2004, 118 days after receiving the submission on February 26, 2004.

This device falls under the Gastroenterology & Urology FDA review panel. Regulated under 21 CFR 876.1300.

Submission Details

510(k) Number K040494 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received February 26, 2004
Decision Date June 23, 2004
Days to Decision 118 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Statement

Device Classification

Product Code NEZ - System, Imaging, Gastrointestinal, Wireless, Capsule
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.1300