| 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 Number | 878.5070 |
| Classification Product Code |
|
| Date Received | 09/23/2021 |
| 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
|
|
|