| Device Classification Name |
Pump, Infusion, Enteral
|
| 510(k) Number |
K111381 |
| Device Name |
MEDI-SIS SYRINGE INFUSION SYSTEM |
| Applicant |
| Acacia, Inc. |
| 785 Challenger St. |
|
Brea,
CA
92821
|
|
| Applicant Contact |
FERGIE FERGUSON |
| Correspondent |
| Acacia, Inc. |
| 785 Challenger St. |
|
Brea,
CA
92821
|
|
| Correspondent Contact |
FERGIE FERGUSON |
| Regulation Number | 880.5725 |
| Classification Product Code |
|
| Date Received | 05/17/2011 |
| Decision Date | 01/13/2012 |
| Decision |
Substantially Equivalent
(SESE) |
| Regulation Medical Specialty |
General Hospital
|
| 510k Review Panel |
General Hospital
|
| Summary |
Summary
|
| Type |
Traditional
|
| Reviewed by Third Party |
No
|
| Combination Product |
No
|
Predetermined Change Control Plan Authorized |
No
|
|
|