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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Electrosurgical, Cutting & Coagulation & Accessories
510(k) Number K803055
Device Name ELECTROSURGICAL TIP CLEANER & HOLDER
Applicant
Devon Industries, Inc.
4221 Richmond Rd., NW
Walker,  MI  49534
Correspondent
Devon Industries, Inc.
4221 Richmond Rd., NW
Walker,  MI  49534
Regulation Number878.4400
Classification Product Code
GEI  
Date Received12/02/1980
Decision Date 02/12/1981
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General & Plastic Surgery
510k Review Panel General & Plastic Surgery
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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