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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Respirator, Surgical
510(k) Number K070139
Device Name WILLSON ONE-FIT HEALTHCARE PARTICLE RESPIRATOR AND SURGICAL MASK, HC-NB095
Applicant
Survivair, Inc.
1025 W. Everett Rd.
Lake Forest,  IL  60045
Applicant Contact RICHARD O WOOD
Correspondent
Survivair, Inc.
1025 W. Everett Rd.
Lake Forest,  IL  60045
Correspondent Contact RICHARD O WOOD
Regulation Number878.4040
Classification Product Code
MSH  
Date Received01/16/2007
Decision Date 03/02/2007
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General & Plastic Surgery
510k Review Panel General Hospital
Summary Summary
Type Abbreviated
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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