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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Hemostatic Metal Clip For The Gi Tract
510(k) Number K101428
Device Name OTSC (OVER-THE SCOPE-CLIP) SYSTEM SET
Applicant
Ovesco Endoscopy AG
Kastellstr. 8
Baden Wuerttemberg
Karlsruhe,  DE 76227
Applicant Contact ARNE BRIEST
Correspondent
Ovesco Endoscopy AG
Kastellstr. 8
Baden Wuerttemberg
Karlsruhe,  DE 76227
Correspondent Contact ARNE BRIEST
Regulation Number876.4400
Classification Product Code
PKL  
Date Received05/21/2010
Decision Date 12/01/2010
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Gastroenterology/Urology
510k Review Panel Gastroenterology/Urology
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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