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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Sacroiliac Joint Fixation
510(k) Number K170475
Device Name SICAGE™ System
Applicant
Sicage, LLC
6709 S. Minnesota Ave., Suite 206
Souix Falls,  SD  57108
Applicant Contact Kristi Vondra
Correspondent
Backroads Consulting, Inc.
P.O. Box 566
Chesterland,  OH  44026
Correspondent Contact Karen E. Warden, Ph.D.
Regulation Number888.3040
Classification Product Code
OUR  
Date Received02/16/2017
Decision Date 05/05/2017
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Orthopedic
510k Review Panel Orthopedic
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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