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Stonetome Stone Removal Device

K191789 Class II Special
Decision Date
2019-07-25
Sponsor / Applicant
Boston Scientific Corporation

Technical Specification

510(k) Submission ID K191789
Product Code LQR
Medical Specialty / Panel Gastroenterology, Urology
Regulation Citation 21 CFR 876.5010
Decision Date 2019-07-25
Clearance Pathway Special

Official Documentation

FDA CDRH Summary / statement of record

View FDA Summary PDF

Clearance Summary

Stonetome Stone Removal Device received FDA 510(k) clearance under submission number K191789, sponsored by Boston Scientific Corporation. The device was reviewed via the Special premarket notification pathway and assigned to the Gastroenterology, Urology review panel. The statutory decision date of record is 2019-07-25.

Classification & Regulation

This clearance is catalogued under FDA product code LQR and 21 CFR 876.5010, within the Gastroenterology, Urology review panel as a Class II device.