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ACCORDION STONE MANAGEMENT DEVICE MODEL AC281205 AND AC3814510

K102887 Class II Traditional
Decision Date
2011-05-16
Sponsor / Applicant
Percutaneous Systems, Inc.

Technical Specification

510(k) Submission ID K102887
Product Code FFL
Medical Specialty / Panel Gastroenterology, Urology
Regulation Citation 21 CFR 876.4680
Decision Date 2011-05-16
Clearance Pathway Traditional

Official Documentation

FDA CDRH Summary / statement of record

View FDA Summary PDF

Clearance Summary

ACCORDION STONE MANAGEMENT DEVICE MODEL AC281205 AND AC3814510 received FDA 510(k) clearance under submission number K102887, sponsored by Percutaneous Systems, 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 2011-05-16.

Classification & Regulation

This clearance is catalogued under FDA product code FFL and 21 CFR 876.4680, within the Gastroenterology, Urology review panel as a Class II device.