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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Set, Tubing, Blood, With And Without Anti-Regurgitation Valve
510(k) Number K896407
Device Name HAEMOTRONIC BLOOD LINE SET
Applicant
Healthcare Suppliers, Inc.
3925 W. Northside Dr.
Jackson,  MS  39209
Applicant Contact JOHN O WILLIAMS
Correspondent
Healthcare Suppliers, Inc.
3925 W. Northside Dr.
Jackson,  MS  39209
Correspondent Contact JOHN O WILLIAMS
Regulation Number876.5820
Classification Product Code
FJK  
Date Received11/07/1989
Decision Date 04/25/1990
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Gastroenterology/Urology
510k Review Panel Gastroenterology/Urology
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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