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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Generator, Oxygen, Portable
510(k) Number K040738
Device Name MOBILE OXYGEN STORAGE TANK (MOST)
Applicant
Pacific Consolidated Industries Llp
3430 W. Carriage Dr.
Santa Ana,  CA  92704
Applicant Contact TARIK NAHEIRI
Correspondent
Pacific Consolidated Industries Llp
3430 W. Carriage Dr.
Santa Ana,  CA  92704
Correspondent Contact TARIK NAHEIRI
Regulation Number868.5440
Classification Product Code
CAW  
Date Received03/22/2004
Decision Date 04/30/2004
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Anesthesiology
510k Review Panel Anesthesiology
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
Recalls CDRH Recalls
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