meddevicedb.com FDA Device Reference

Pre-Formed Blue

K221575 Class II Traditional
Decision Date
2022-10-07
Sponsor / Applicant
Lake Region Medical

Technical Specification

510(k) Submission ID K221575
Product Code DQX
Medical Specialty / Panel Cardiovascular
Regulation Citation 21 CFR 870.1330
Decision Date 2022-10-07
Clearance Pathway Traditional

Official Documentation

FDA CDRH Summary / statement of record

View FDA Summary PDF

Clearance Summary

Pre-Formed Blue received FDA 510(k) clearance under submission number K221575, sponsored by Lake Region Medical. The device was reviewed via the Traditional premarket notification pathway and assigned to the Cardiovascular review panel. The statutory decision date of record is 2022-10-07.

Classification & Regulation

This clearance is catalogued under FDA product code DQX and 21 CFR 870.1330, within the Cardiovascular review panel as a Class II device.