Cleared Special

K202376 - EverLift Submucosal Lifting Agent (FDA 510(k) Clearance)

Sep 2020
Decision
41d
Days
Class 2
Risk

K202376 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, Inc. (Mechanicsburg, US). The FDA issued a Cleared decision on September 30, 2020, 41 days after receiving the submission on August 20, 2020.

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 K202376 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received August 20, 2020
Decision Date September 30, 2020
Days to Decision 41 days
Submission Type Special
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.