Cleared Traditional

K220157 - Disposable Hemostatic Closure Clip Device (FDA 510(k) Clearance)

Jun 2022
Decision
145d
Days
Class 2
Risk

K220157 is an FDA 510(k) clearance for the Disposable Hemostatic Closure Clip Device. This device is classified as a Hemostatic Metal Clip For The Gi Tract (Class II - Special Controls, product code PKL).

Submitted by Micro-Tech (Nanjing) Co., Ltd. (Nanjing, CN). The FDA issued a Cleared decision on June 13, 2022, 145 days after receiving the submission on January 19, 2022.

This device falls under the Gastroenterology & Urology FDA review panel. Regulated under 21 CFR 876.4400. Clip Placement Within The Gastrointestinal (gi) Tract For The Purpose Of Endoscopic Marking, Hemostasis For Mucosal/sub-mucosal Defects, Bleeding Ulcers, Arteries, Polyps, Diverticula In The Colon, Prophylactic Clipping, Anchoring Feeding Tubes, Supplemental Closure Method Of Luminal Perforations..

Submission Details

510(k) Number K220157 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received January 19, 2022
Decision Date June 13, 2022
Days to Decision 145 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF

Device Classification

Product Code PKL — Hemostatic Metal Clip For The Gi Tract
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.4400
Definition Clip Placement Within The Gastrointestinal (gi) Tract For The Purpose Of Endoscopic Marking, Hemostasis For Mucosal/sub-mucosal Defects, Bleeding Ulcers, Arteries, Polyps, Diverticula In The Colon, Prophylactic Clipping, Anchoring Feeding Tubes, Supplemental Closure Method Of Luminal Perforations.

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