Cleared Traditional

K921287 - SURGICAL RETRACTOR

K921287 is an FDA 510(k) clearance for SURGICAL RETRACTOR, manufactured by Advanced Surgical, Inc.. The device is a Class 2 General & Plastic Surgery device with product code GCJ cleared through the Traditional 510(k) pathway after a 352-day FDA review.

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Mar 1993
Decision
352d
Days
Class 2
Risk

K921287 is an FDA 510(k) clearance for the SURGICAL RETRACTOR. Classified as Laparoscope, General & Plastic Surgery (product code GCJ), Class II - Special Controls.

Submitted by Advanced Surgical, Inc. (Princeton, US). The FDA issued a Cleared decision on March 4, 1993 after a review of 352 days - an unusually long review period, suggesting complex equivalence evaluation.

This device falls under the General & Plastic Surgery FDA review panel, regulated under 21 CFR 876.1500 - 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. Elevated predicate reliance profile. 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 Advanced Surgical, Inc. devices

FDA 510(k) Submission Details - K921287

510(k) Number K921287 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received March 17, 1992
Decision Date March 04, 1993
Days to Decision 352 days
Submission Type Traditional
Review Panel General & Plastic Surgery (SU)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
237d slower than avg
Panel avg: 115d · This submission: 352d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

GCJ Device Classification - Class 2, Special Controls

Product Code GCJ Laparoscope, General & Plastic Surgery
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 876.1500
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 - GCJ Laparoscope, General & Plastic Surgery

All 826
Devices cleared under the same product code (GCJ) and FDA review panel - the closest regulatory comparables to K921287.
DISSECTION INSTRUMENT
K922094 · Origin Medsystems, Inc. · Mar 1993
O.R. CONCEPTS SECONDARY CANNULA
K924022 · O.R. Concepts, Inc. · Mar 1993
OLYMPUS OES LAPAROSCOPY SYSTEM
K923982 · Olympus Corp. · Mar 1993
SYMBIOSIS HEMOSTATIC WAND
K925410 · Symbiosis Corp. · Feb 1993
MAGNETIC RETRIEVER
K925565 · Cook Urological, Inc. · Feb 1993
KAISER NO CANNULA THORACOSCOPY/LAPAROSCOPY INSTR
K925198 · Pilling Co. · Feb 1993