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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Stand, Infusion
510(k) Number K852937
Device Name THE IVY POLE-INTRAVENOUS BOT TREES #1121K & 1221K
Applicant
Northern Customfab, Inc.
P.O. Box 1336
132 Imperial Rd.
North Bay,Ont Plb 8k4 Ca,  CA
Applicant Contact S WILLIAMSON
Correspondent
Northern Customfab, Inc.
P.O. Box 1336
132 Imperial Rd.
North Bay,Ont Plb 8k4 Ca,  CA
Correspondent Contact S WILLIAMSON
Regulation Number880.6990
Classification Product Code
FOX  
Date Received07/10/1985
Decision Date 07/26/1985
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General Hospital
510k Review Panel General Hospital
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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