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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Instrument, Ultrasonic Surgical
510(k) Number K904010
Device Name SURGICAL ASPIRATOR KIT
Applicant
Surgeon Surgical Instrumentation, Inc.
1030 Richfield Rd.
Placentia,  CA  92670
Applicant Contact DON W HAAR
Correspondent
Surgeon Surgical Instrumentation, Inc.
1030 Richfield Rd.
Placentia,  CA  92670
Correspondent Contact DON W HAAR
Classification Product Code
LFL  
Date Received08/29/1990
Decision Date 11/21/1990
Decision Substantially Equivalent (SESE)
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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