| Device Classification Name |
Tubes, Gastrointestinal (And Accessories)
|
| 510(k) Number |
K163092 |
| Device Name |
TubeClear Control Box and Clearing Stem |
| Applicant |
| Actuated Medical, Inc. |
| 310 Rolling Ridge Dr. |
|
Bellefonte,
PA
16801
|
|
| Applicant Contact |
Thomas L. Cronin |
| Correspondent |
| Third Party Review Group, LLC |
| 25 Independence Blvd. |
|
Warren,
NJ
07059
|
|
| Correspondent Contact |
DAVE YUNGVIRT |
| Regulation Number | 876.5980 |
| Classification Product Code |
|
| Date Received | 11/04/2016 |
| Decision Date | 11/30/2016 |
| Decision |
Substantially Equivalent
(SESE) |
| Regulation Medical Specialty |
Gastroenterology/Urology
|
| 510k Review Panel |
Gastroenterology/Urology
|
| Summary |
Summary
|
| Type |
Traditional
|
| Reviewed by Third Party |
Yes
|
| Combination Product |
No
|
Predetermined Change Control Plan Authorized |
No
|
|
|