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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Hemostatic Wound Dressing Without Thrombin Or Other Biologics
510(k) Number K090620
Device Name QUIKCLOT INTEVENTIONAL, MODEL P/N 182
Applicant
Z-Medica Corporation
4 Fairfield Blvd.
Wallingford,  CT  06492
Applicant Contact RONALD E PETERSON
Correspondent
Z-Medica Corporation
4 Fairfield Blvd.
Wallingford,  CT  06492
Correspondent Contact RONALD E PETERSON
Classification Product Code
QSY  
Date Received03/09/2009
Decision Date 04/08/2009
Decision Substantially Equivalent (SESE)
510k Review Panel General & Plastic Surgery
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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