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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Tape And Bandage, Adhesive
510(k) Number K872593
Device Name ANDOVER ADHESIVE TAPE, SURGICAL
Applicant
Andover Coated Products, Inc.
41 Green St.
Marblehead,  MA  01945
Applicant Contact THOMAS S MURPHY
Correspondent
Andover Coated Products, Inc.
41 Green St.
Marblehead,  MA  01945
Correspondent Contact THOMAS S MURPHY
Regulation Number880.5240
Classification Product Code
KGX  
Date Received07/01/1987
Decision Date 08/04/1987
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General Hospital
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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