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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Staple, Implantable
510(k) Number K221005
Device Name EEA Circular Stapler with Tri-Staple Technology
Applicant
Covidien
Rm.S 501, 502, 601, 602, #3 Bldg.
#2388 Chen Hang Rd., Min Hang District
Shanghai,  CN 201114
Applicant Contact Leo Chen
Correspondent
Covidien
60 Middletown Ave.
North Haven,  CT  06473
Correspondent Contact Katherine Choi
Regulation Number878.4750
Classification Product Code
GDW  
Subsequent Product Code
GAG  
Date Received04/05/2022
Decision Date 04/29/2022
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General & Plastic Surgery
510k Review Panel General & Plastic Surgery
Summary Summary
Type Special
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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