Cleared Traditional

K171969 - Web II Memory Extraction Basket or Memory II Double Lumen Extraction Basket, Memory 5 Fr. Soft Wire Baskets or Memory Helical Stone Extractor, Memory Eight Wire Baskets or Memory Hard Wire Baskets, Fusion Wire Guided Extraction Basket, Non-Lithotripsy Extraction Basket (FDA 510(k) Clearance)

Mar 2018
Decision
271d
Days
Class 2
Risk

K171969 is an FDA 510(k) clearance for the Web II Memory Extraction Basket or Memory II Double Lumen Extraction Basket, Memory 5 Fr. Soft Wire Baskets or Memory Helical Stone Extractor, Memory Eight Wire Baskets or Memory Hard Wire Baskets, Fusion Wire Guided Extraction Basket, Non-Lithotripsy Extraction Basket. This device is classified as a Dislodger, Stone, Biliary (Class II - Special Controls, product code LQR).

Submitted by Wilson-Cook Medical, Inc. (Winston-Salem, US). The FDA issued a Cleared decision on March 28, 2018, 271 days after receiving the submission on June 30, 2017.

This device falls under the Gastroenterology & Urology FDA review panel. Regulated under 21 CFR 876.5010.

Submission Details

510(k) Number K171969 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received June 30, 2017
Decision Date March 28, 2018
Days to Decision 271 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF

Device Classification

Product Code LQR — Dislodger, Stone, Biliary
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.5010