Cleared Traditional

K201526 - TIPCAM1 Rubina Video Endoscope System (FDA 510(k) Clearance)

Nov 2020
Decision
165d
Days
Class 2
Risk

K201526 is an FDA 510(k) clearance for the TIPCAM1 Rubina Video Endoscope System. This device is classified as a Laparoscope, General & Plastic Surgery (Class II - Special Controls, product code GCJ).

Submitted by Karl Storz Endoscopy America (El Segundo, US). The FDA issued a Cleared decision on November 20, 2020, 165 days after receiving the submission on June 8, 2020.

This device falls under the Obstetrics & Gynecology FDA review panel. Regulated under 21 CFR 876.1500. 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)..

Submission Details

510(k) Number K201526 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received June 08, 2020
Decision Date November 20, 2020
Days to Decision 165 days
Submission Type Traditional
Review Panel Obstetrics & Gynecology (OB)
Summary Summary PDF

Device Classification

Product Code GCJ - Laparoscope, General & Plastic Surgery
Device Class Class II - 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).

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