Cleared Traditional

K231633 - Disposable Hemoclip (AF series) (FDA 510(k) Clearance)

Jan 2024
Decision
220d
Days
Class 2
Risk

K231633 is an FDA 510(k) clearance for the Disposable Hemoclip (AF series). This device is classified as a Hemostatic Metal Clip For The Gi Tract (Class II - Special Controls, product code PKL).

Submitted by Alton (Shanghai) Medical Instruments Co., Ltd. (Shanghai, CN). The FDA issued a Cleared decision on January 11, 2024, 220 days after receiving the submission on June 5, 2023.

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 K231633 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received June 05, 2023
Decision Date January 11, 2024
Days to Decision 220 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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