Cleared Traditional

K914928 - BASIC SET UP TRAY

K914928 is an FDA 510(k) clearance for BASIC SET UP TRAY, manufactured by Westmark Hospital Supplies. The device is a Class 2 General & Plastic Surgery device with product code GEI cleared through the Traditional 510(k) pathway after a 133-day FDA review.

K914928 · Westmark Hospital Supplies · General & Plastic Surgery device
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Mar 1992
Decision
133d
Days
Class 2
Risk

K914928 is an FDA 510(k) clearance for the BASIC SET UP TRAY. Classified as Electrosurgical, Cutting & Coagulation & Accessories within the GEI classification (a category for electrosurgical cutting and coagulation devices), Class II - Special Controls.

Submitted by Westmark Hospital Supplies (Grand Rapids, US). The FDA issued a Cleared decision on March 16, 1992 after a review of 133 days - within the typical 510(k) review window.

This device falls under the General & Plastic Surgery FDA review panel, regulated under 21 CFR 878.4400 - the FDA general and plastic surgery 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 General & Plastic Surgery review framework, consistent with the majority of Class II 510(k) submissions.

View all Westmark Hospital Supplies devices

FDA 510(k) Submission Details - K914928

510(k) Number K914928 FDA.gov
FDA Decision Cleared Substantially Equivalent - Special 510(k) (SESK)
Date Received November 04, 1991
Decision Date March 16, 1992
Days to Decision 133 days
Submission Type Traditional
Review Panel General & Plastic Surgery (SU)
Summary Statement
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
18d slower than avg
Panel avg: 115d · This submission: 133d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

GEI Device Classification - Class 2, Special Controls

Product Code GEI Electrosurgical, Cutting & Coagulation & Accessories
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 878.4400
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).
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 General & Plastic Surgery devices follow this clearance model.

Regulatory Peers - GEI Electrosurgical, Cutting & Coagulation & Accessories

All 1209
Devices cleared under the same product code (GEI) and FDA review panel - the closest regulatory comparables to K914928.
MEDITRON AUTOMATIC ELECTRONIC INSUFF. MODEL AEI-15
K920071 · Medical Devices, Inc. · Jul 1992
MULTI USE LAPAROSCOPY ELECTROSURGICAL INSTRUMENT
K915204 · Conmedcorp · Jun 1992
GENESIS ELECTROSURGICAL UNIT
K920185 · Conmedcorp · Apr 1992
DAVOL LAPAROSCOPIC INSTRUMENTS (GEN SURG REUSABLE)
K914910 · Davol, Inc. · Jan 1992
MODELS E2502B/E2525 REUSABLE HANDSWITCHING PENCILS
K914400 · Valleylab, Inc. · Oct 1991
LAPAROSCOPIC ELECTROSURGICAL CANNULA W/RETRACTABLE
K912637 · Dexide, Inc. · Oct 1991