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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Tubing, Noninvasive
510(k) Number K861757
Device Name 5 IN 1 CONNECTOR
Applicant
Jackson Plastics, Inc.
P.O. Box 3596
Jackson,  TN  38301
Applicant Contact SCOTT LOCHRIDGE
Correspondent
Jackson Plastics, Inc.
P.O. Box 3596
Jackson,  TN  38301
Correspondent Contact SCOTT LOCHRIDGE
Regulation Number880.6740
Classification Product Code
GAZ  
Date Received05/06/1986
Decision Date 06/06/1986
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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