Cleared Traditional

K872458 - AN3200 DOUBILET DRAIN

K872458 is an FDA 510(k) clearance for AN3200 DOUBILET DRAIN, manufactured by H.W. Andersen Products, Inc.. The device is a Class 2 Gastroenterology & Urology device with product code FGE cleared through the Traditional 510(k) pathway after a 90-day FDA review.

Download Printable Device Report (PDF)
Optimized for regulatory review, auditing and printing
Sep 1987
Decision
90d
Days
Class 2
Risk

K872458 is an FDA 510(k) clearance for the AN3200 DOUBILET DRAIN. Classified as Stents, Drains And Dilators For The Biliary Ducts (product code FGE), Class II - Special Controls.

Submitted by H.W. Andersen Products, Inc. (Oyster Bay, US). The FDA issued a Cleared decision on September 21, 1987 after a review of 90 days - within the typical 510(k) review window.

This device falls under the Gastroenterology & Urology FDA review panel, regulated under 21 CFR 876.5010 - the FDA gastroenterology and urology device framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Standard predicate-based submission. Standard predicate reliance. This clearance follows a standard predicate-based equivalence path within the Gastroenterology & Urology review framework, consistent with the majority of Class II 510(k) submissions.

View all H.W. Andersen Products, Inc. devices

FDA 510(k) Submission Details - K872458

510(k) Number K872458 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received June 23, 1987
Decision Date September 21, 1987
Days to Decision 90 days
Submission Type Traditional
Review Panel Gastroenterology & Urology (GU)
Summary -
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
40d faster than avg
Panel avg: 130d · This submission: 90d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

FGE Device Classification - Class 2, Special Controls

Product Code FGE Stents, Drains And Dilators For The Biliary Ducts
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 876.5010
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most Gastroenterology & Urology devices follow this clearance model.

Regulatory Peers - FGE Stents, Drains And Dilators For The Biliary Ducts

All 314
Devices cleared under the same product code (FGE) and FDA review panel - the closest regulatory comparables to K872458.
COOK-GIANTURCO BILIARY Z STENT
K882610 · Cook, Inc. · Apr 1989
MODIFIED COPE SUTURE ANCHOR
K873606 · Cook, Inc. · Jun 1988
NAMIC HAWKINS UNIVERSAL DRAINAGE SET
K873954 · North American Instrument Corp. · Jan 1988
SHEATH, ENDOSCOPE
K862059 · Endovations · Nov 1986
BILIARY BALLOON CATHETER
K863571 · Uresil Corp. · Nov 1986
BARD BALLOON DILATATION SYSTEM
K863437 · C.R. Bard, Inc. · Oct 1986