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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Gown, Surgical
510(k) Number K030536
Device Name LAC-MAC LIMITED INNERBLOC O.R. GOWN
Applicant
Lac Mac, Ltd.
10907 Wareham Ct.
Austin,  TX  78739
Applicant Contact JEFFREY O STULL
Correspondent
Lac Mac, Ltd.
10907 Wareham Ct.
Austin,  TX  78739
Correspondent Contact JEFFREY O STULL
Regulation Number878.4040
Classification Product Code
FYA  
Date Received02/20/2003
Decision Date 05/06/2003
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General & Plastic Surgery
510k Review Panel General Hospital
Statement Statement
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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