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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Coagulator-Cutter, Endoscopic, Bipolar (And Accessories)
510(k) Number K781109
Device Name FORCEPS, ELECTROSURGICAL
Applicant
Kli
4221 Richmond Rd., NW
Walker,  MI  49534
Correspondent
Kli
4221 Richmond Rd., NW
Walker,  MI  49534
Regulation Number884.4150
Classification Product Code
HIN  
Date Received06/30/1978
Decision Date 09/14/1978
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Obstetrics/Gynecology
510k Review Panel Obstetrics/Gynecology
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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