Cleared Traditional

K191923 - EverLift Submucosal Lifting Agent (FDA 510(k) Clearance)

Jun 2020
Decision
338d
Days
Class 2
Risk

K191923 is an FDA 510(k) clearance for the EverLift Submucosal Lifting Agent. This device is classified as a Submucosal Injection Agent (Class II - Special Controls, product code PLL).

Submitted by Gi Supply (Mechanicsburg, US). The FDA issued a Cleared decision on June 20, 2020, 338 days after receiving the submission on July 18, 2019.

This device falls under the Gastroenterology & Urology FDA review panel. Regulated under 21 CFR 876.1500. Intended For Use In Gastrointestinal Endoscopic Procedures For Submucosal Lift Of Polyps, Adenomas, Early-stage Cancers Or Other Gastrointestinal Mucosal Lesions, Prior To Excision With A Snare Or Endoscopic Device..

Submission Details

510(k) Number K191923 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received July 18, 2019
Decision Date June 20, 2020
Days to Decision 338 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF

Device Classification

Product Code PLL - Submucosal Injection Agent
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.1500
Definition Intended For Use In Gastrointestinal Endoscopic Procedures For Submucosal Lift Of Polyps, Adenomas, Early-stage Cancers Or Other Gastrointestinal Mucosal Lesions, Prior To Excision With A Snare Or Endoscopic Device.