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POLYSCOPE FLEXIBLE ENDOSCOPY CATHETER; 10,000 PIXEL FIBER OPTIC; XENON LIGHT SOURCE, MODEL LS-200

K091962 Class II Traditional
Decision Date
2009-09-30
Sponsor / Applicant
Lumenis, Inc.

Technical Specification

510(k) Submission ID K091962
Product Code ODF
Medical Specialty / Panel Gastroenterology, Urology
Regulation Citation 21 CFR 876.1500
Decision Date 2009-09-30
Clearance Pathway Traditional

Official Documentation

FDA CDRH Summary / statement of record

View FDA Summary PDF

Clearance Summary

POLYSCOPE FLEXIBLE ENDOSCOPY CATHETER; 10,000 PIXEL FIBER OPTIC; XENON LIGHT SOURCE, MODEL LS-200 received FDA 510(k) clearance under submission number K091962, sponsored by Lumenis, Inc.. The device was reviewed via the Traditional premarket notification pathway and assigned to the Gastroenterology, Urology review panel. The statutory decision date of record is 2009-09-30.

Classification & Regulation

This clearance is catalogued under FDA product code ODF and 21 CFR 876.1500, within the Gastroenterology, Urology review panel as a Class II device.