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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Sunglasses (Non-Prescription Including Photosensitive)
510(k) Number K910141
Device Name CHILDREN SUNGLASSES
Applicant
Consolidated Stores Intl. Corp.
300 Phillips Rd.
Columbus,  OH  43228
Applicant Contact JOHANN COZART
Correspondent
Consolidated Stores Intl. Corp.
300 Phillips Rd.
Columbus,  OH  43228
Correspondent Contact JOHANN COZART
Regulation Number886.5850
Classification Product Code
HQY  
Date Received01/14/1991
Decision Date 02/13/1991
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Ophthalmic
510k Review Panel Ophthalmic
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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