Cleared Traditional

K121390 - LUBE JELLY SURINGE

K121390 is an FDA 510(k) clearance for LUBE JELLY SURINGE, manufactured by Nurse Assist, Inc.. The device is a Class 1 General Hospital device with product code KMJ cleared through the Traditional 510(k) pathway after a 93-day FDA review.

K121390 · Nurse Assist, Inc. · General Hospital
Download Printable Device Report (PDF) Official FDA 510(k) Summary (PDF)
Optimized for regulatory review, auditing and printing
Aug 2012
Decision
93d
Days
Class 1
Risk

K121390 is an FDA 510(k) clearance for the LUBE JELLY SURINGE. Classified as Lubricant, Patient (product code KMJ), Class I - General Controls.

Submitted by Nurse Assist, Inc. (Haltom City, US). The FDA issued a Cleared decision on August 10, 2012 after a review of 93 days - within the typical 510(k) review window.

This device falls under the General Hospital FDA review panel, regulated under 21 CFR 880.6375 - the FDA general hospital device framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Standard predicate-based submission. Standard predicate reliance. This clearance follows a standard predicate-based equivalence path within the General Hospital review framework, consistent with the majority of Class II 510(k) submissions.

FDA 510(k) Submission Details - K121390

510(k) Number K121390 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received May 09, 2012
Decision Date August 10, 2012
Days to Decision 93 days
Submission Type Traditional
Review Panel General Hospital (HO)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
36d faster than avg
Panel avg: 129d · This submission: 93d
Pathway characteristics
Predicate-based equivalence.

KMJ Device Classification - Class 1, General Controls

Product Code KMJ Lubricant, Patient
Device Class Class 1 - General Controls
CFR Regulation 21 CFR 880.6375
What this classification means

Class I devices are subject to general controls only and most are exempt from 510(k) premarket notification. They represent the lowest regulatory burden in the FDA device framework.

Regulatory Peers - KMJ Lubricant, Patient

All 40
Devices cleared under the same product code (KMJ) and FDA review panel - the closest regulatory comparables to K121390.
Lubricating Jelly
K142473 · Sion Biotext Medical , Ltd. · Apr 2015
COLONGLIDE LUBRICANT
K141028 · Pediatric Pharmaceuticals, Inc. · Jul 2014
COLONGLIDE(R) LUBRICANT
K131617 · Pediatric Pharmaceuticals, Inc. · Oct 2013
DUKAL LUBRICATING JELLY
K113689 · Dukal Corporation · May 2012
STERILE LUBRICATING JELLY
K112110 · Jianerkang Medical Dressing Company · Apr 2012
DYNACOR LUBRICATION GEL
K103718 · Medline Industries, Inc. · May 2011
K121390 · LUBE JELLY SURINGE
Download PDF FDA Summary Nurse Assist, Inc.