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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Catheter, Intravascular Occluding, Temporary
510(k) Number K192786
Device Name Gatekeeper Balloon Catheter
Applicant
Arch Catheter, LLC
621 Grand Harbor Blvd.
Ninety Six,  SC  29666
Applicant Contact Michael Zhadkevich
Correspondent
Medical Device Academy
345 Lincoln Hill Rd.
Shrewsbury,  VT  05738
Correspondent Contact Mary Vater
Regulation Number870.4450
Classification Product Code
MJN  
Date Received09/30/2019
Decision Date 04/25/2020
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Cardiovascular
510k Review Panel Cardiovascular
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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