Cleared Traditional

K161020 - XSTAT-12, 3-Pack, XSTAT-12, 1-Pack (FDA 510(k) Clearance)

Jul 2016
Decision
107d
Days
Class 2
Risk

K161020 is an FDA 510(k) clearance for the XSTAT-12, 3-Pack, XSTAT-12, 1-Pack. This device is classified as a Non-absorbable, Expandable, Hemostatic Sponge For Temporary Internal Use (Class II - Special Controls, product code PGZ).

Submitted by Revmedx, Inc. (Wilsonville,, US). The FDA issued a Cleared decision on July 28, 2016, 107 days after receiving the submission on April 12, 2016.

This device falls under the General & Plastic Surgery FDA review panel. Regulated under 21 CFR 878.4452. To Control Bleeding In Junctional, Non-compressible Wounds Until Surgical Care Is Acquired..

Submission Details

510(k) Number K161020 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received April 12, 2016
Decision Date July 28, 2016
Days to Decision 107 days
Submission Type Traditional
Review Panel General & Plastic Surgery (SU)
Summary Summary PDF

Device Classification

Product Code PGZ - Non-absorbable, Expandable, Hemostatic Sponge For Temporary Internal Use
Device Class Class II - Special Controls
CFR Regulation 21 CFR 878.4452
Definition To Control Bleeding In Junctional, Non-compressible Wounds Until Surgical Care Is Acquired.