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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Laparoscope, General & Plastic Surgery
510(k) Number K091930
Device Name ANCHOR LAPAROSCOPIC TISSUE RETRIEVAL SYSTEM, MODEL TRS100SB
Applicant
Anchor Products Co.
52 Official Rd.
Addison,  IL  60101
Applicant Contact GARY S THRUN
Correspondent
Anchor Products Co.
52 Official Rd.
Addison,  IL  60101
Correspondent Contact GARY S THRUN
Regulation Number876.1500
Classification Product Code
GCJ  
Date Received06/30/2009
Decision Date 09/23/2009
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Gastroenterology/Urology
510k Review Panel General & Plastic Surgery
Summary Summary
Type Special
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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