| Device Classification Name |
Set, I.V. Fluid Transfer
|
| 510(k) Number |
K140402 |
| Device Name |
MEDSOURCE IV ADMINISTRATION SET 72 MEDSOURCE IV ADMINISTRATION SET, NEEDLELESS MALE ADAPTER, MEDSOURCE IV EXTENSION SET |
| Applicant |
| Medsource International, LLC |
| 5346 Shoreline Dr. |
|
Mound,
MN
55364
|
|
| Applicant Contact |
JENNIFER NESS |
| Correspondent |
| Medsource International, LLC |
| 5346 Shoreline Dr. |
|
Mound,
MN
55364
|
|
| Correspondent Contact |
JENNIFER NESS |
| Regulation Number | 880.5440 |
| Classification Product Code |
|
| Date Received | 02/18/2014 |
| Decision Date | 04/03/2014 |
| Decision |
Substantially Equivalent
(SESE) |
| Regulation Medical Specialty |
General Hospital
|
| 510k Review Panel |
General Hospital
|
| Statement |
Statement
|
| Type |
Special
|
| Reviewed by Third Party |
No
|
| Combination Product |
No
|
Predetermined Change Control Plan Authorized |
No
|
|
|