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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Elastomer, Silicone Block
510(k) Number K241150
Device Name MISTI Silicone Implant
Applicant
Keosan Trading Co.
#805, #806, Human Teco B/D, 57,
Achasan-Ro 17-Gil Seongdong-Gu
Seoul,  KR
Applicant Contact Jiyoung Nam
Correspondent
LK Consulting Group USA, Inc.
18881 Von Karman Ave.
Suite 160
Irvine,  CA  92612
Correspondent Contact Priscilla Chung
Regulation Number874.3620
Classification Product Code
MIB  
Subsequent Product Codes
FWP   FZE   LZK   MIC  
Date Received04/25/2024
Decision Date 07/24/2024
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Ear Nose & Throat
510k Review Panel General & Plastic Surgery
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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