Cleared Special

K143091 - Surgisleeve Wound Protector

K143091 is the FDA 510(k) clearance for Surgisleeve Wound Protector by Covidien, LLC. It is a Class 2 General Hospital device (product code GCJ) cleared through the Special 510(k) pathway after a 29-day FDA review.

K143091 · Covidien, LLC · General Hospital
Download Printable Device Report (PDF)
Optimized for regulatory review, auditing and printing
Nov 2014
Decision
29d
Days
Class 2
Risk

K143091 is an FDA 510(k) clearance for the Surgisleeve Wound Protector. Classified as Laparoscope, General & Plastic Surgery (product code GCJ), Class II - Special Controls.

Submitted by Covidien, LLC (North Haven, US). The FDA issued a Cleared decision on November 26, 2014 after a review of 29 days - a notably fast clearance cycle.

This device falls under the General Hospital FDA review panel, regulated under 21 CFR 876.1500 - the FDA general hospital device framework. As a Special 510(k), this submission covers a manufacturer modification to an existing cleared device rather than a new device introduction.

Device pattern: Iterative device modification. Low regulatory complexity profile. This Special 510(k) clearance confirms that the manufacturer's modifications remained within the established regulatory envelope of the original cleared device.

View all Covidien, LLC devices

Submission Details

510(k) Number K143091 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received October 28, 2014
Decision Date November 26, 2014
Days to Decision 29 days
Submission Type Special
Review Panel General Hospital (HO)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
100d faster than avg
Panel avg: 129d · This submission: 29d
Pathway characteristics
Modification to existing cleared device.

Device Classification

Product Code GCJ Laparoscope, General & Plastic Surgery
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 876.1500
Definition Validated Reprocessing Instructions And Reprocessing Validation Data For This Device Type Must Be Included In A 510(k) Submission If The Device Is Reusable And Has Specific Design Features (please Refer To Table 2 Of 82 Fr 26807, Available At Https://www.gpo.gov/fdsys/pkg/fr-2017-06-09/pdf/2017-12007.pdf).
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most General Hospital devices follow this clearance model.

Regulatory Peers - GCJ Laparoscope, General & Plastic Surgery

All 508
Devices cleared under the same product code (GCJ) and FDA review panel - the closest regulatory comparables to K143091.
Laparoscopic Handles with peek Insulation
K150127 · Stryker Endoscopy · Feb 2015
ADVANCE SALIVARY BALLOON CATHETER WITH WIRE GUIDE
K140593 · Cook, Inc. · Dec 2014
Bluntport Blunt Trocar with Threaded Anchor 5mm-12mm
K142547 · Covidien · Dec 2014
Stryker Precision HD Camera System
K142603 · Stryker Endoscopy · Oct 2014
SINGLE-SITE PORT
K133203 · Intuitive Surgical, Inc. · May 2014
STRYKER 1488 HD VIDEO CAMERA WITH INFRARED COMPATIBILITY
K132785 · Stryker Endoscopy · Dec 2013