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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Orthosis, Spinal Pedicle Fixation
510(k) Number K042514
Device Name MODIFICATION TO BLACKSTONE MODULAR PEDICLE SCREW SYSTEM
Applicant
Blackstone Medical, Inc.
90 Brooksdale Dr.
Springfield,  MA  01104
Applicant Contact DEAN E CIPORKIN
Correspondent
Blackstone Medical, Inc.
90 Brooksdale Dr.
Springfield,  MA  01104
Correspondent Contact DEAN E CIPORKIN
Regulation Number888.3070
Classification Product Code
MNI  
Subsequent Product Codes
KWQ   MNH  
Date Received09/16/2004
Decision Date 10/07/2004
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Orthopedic
510k Review Panel Orthopedic
Summary Summary
Type Special
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
Recalls CDRH Recalls
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