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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Mask, Surgical
510(k) Number K201622
Device Name Medical surgical mask
Applicant
Guangdong Kingfa Sci. & Tech.Co., Ltd.
28 Delong Ave., Shijiao Town, Qingcheng District
Qingyuan City, Guangdong
Qingyuan,  CN 511500
Applicant Contact Yu Xiaoge
Correspondent
Share Info (Guangzhou) Medical Consultant , Ltd.
# 1919-1920, Bldg. D3, Minjie Plz., Shuixi Rd.,
Huangpu District
Guangzhou,  CN 510700
Correspondent Contact Cassie Lee
Regulation Number878.4040
Classification Product Code
FXX  
Date Received06/15/2020
Decision Date 11/24/2020
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General & Plastic Surgery
510k Review Panel General Hospital
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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