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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Apparatus, Exhaust, Surgical
510(k) Number K213068
Device Name Medline Smoke Evacuation Shroud
Applicant
Medline Industries, Inc.
Three Lakes Dr.
Nortfield,  IL  60093
Applicant Contact Matt Clausen
Correspondent
Medline Industries, Inc.
Three Lakes Dr.
Nortfield,  IL  60093
Correspondent Contact Matt Clausen
Regulation Number878.5070
Classification Product Code
FYD  
Date Received09/23/2021
Decision Date 01/03/2022
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General & Plastic Surgery
510k Review Panel General Hospital
Statement Statement
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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