Cleared Traditional

K101428 - OTSC (OVER-THE SCOPE-CLIP) SYSTEM SET (FDA 510(k) Clearance)

Dec 2010
Decision
194d
Days
Class 2
Risk

K101428 is an FDA 510(k) clearance for the OTSC (OVER-THE SCOPE-CLIP) SYSTEM SET. This device is classified as a Hemostatic Metal Clip For The Gi Tract (Class II - Special Controls, product code PKL).

Submitted by Ovesco Endoscopy AG (Karlsruhe, DE). The FDA issued a Cleared decision on December 1, 2010, 194 days after receiving the submission on May 21, 2010.

This device falls under the Gastroenterology & Urology FDA review panel. Regulated under 21 CFR 876.4400. Clip Placement Within The Gastrointestinal (gi) Tract For The Purpose Of Endoscopic Marking, Hemostasis For Mucosal/sub-mucosal Defects, Bleeding Ulcers, Arteries, Polyps, Diverticula In The Colon, Prophylactic Clipping, Anchoring Feeding Tubes, Supplemental Closure Method Of Luminal Perforations..

Submission Details

510(k) Number K101428 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received May 21, 2010
Decision Date December 01, 2010
Days to Decision 194 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF

Device Classification

Product Code PKL - Hemostatic Metal Clip For The Gi Tract
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.4400
Definition Clip Placement Within The Gastrointestinal (gi) Tract For The Purpose Of Endoscopic Marking, Hemostasis For Mucosal/sub-mucosal Defects, Bleeding Ulcers, Arteries, Polyps, Diverticula In The Colon, Prophylactic Clipping, Anchoring Feeding Tubes, Supplemental Closure Method Of Luminal Perforations.

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