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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Hemostatic Metal Clip For The Gi Tract
510(k) Number K212323
Device Name Instinct Plus Endoscopic Clipping Device
Applicant
Wilson-Cook Medical, Inc.
4900 Bethania Station Rd.
Winston-Salem,  NC  27105
Applicant Contact Scottie Fariole
Correspondent
Wilson-Cook Medical, Inc.
4900 Bethania Station Rd.
Winston-Salem,  NC  27105
Correspondent Contact Scottie Fariole
Regulation Number876.4400
Classification Product Code
PKL  
Date Received07/26/2021
Decision Date 08/25/2021
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Gastroenterology/Urology
510k Review Panel Gastroenterology/Urology
Summary Summary
Type Special
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
Recalls CDRH Recalls
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