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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Insufflator, Automatic Carbon-Dioxide For Endoscope
510(k) Number K013219
Device Name PROTOCO2L INSUFFLATOR MODEL 6400
Applicant
E-Z-EM, INC.
717 MAIN ST.
WESTBURY,  NY  11590
Applicant Contact ROBERT WILLIAMS
Correspondent
E-Z-EM, INC.
717 MAIN ST.
WESTBURY,  NY  11590
Correspondent Contact ROBERT WILLIAMS
Regulation Number876.1500
Classification Product Code
FCX  
Date Received09/26/2001
Decision Date 02/19/2002
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Gastroenterology/Urology
510k Review Panel Gastroenterology/Urology
Statement Statement
Type Abbreviated
Reviewed by Third Party No
Combination Product No
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