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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name colonoscope and accessories, flexible/rigid
510(k) Number K093187
Device Name MODIFICATION TO THIRD EYE RETROSCOPE AUXILIARY ENDOSCOPY SYSTEM
Applicant
AVANTIS MEDICAL SYSTEMS, INC.
263 SANTA ANA CT.
SUNNYVALE,  CA  94085
Applicant Contact ELAINE APLAON
Correspondent
AVANTIS MEDICAL SYSTEMS, INC.
263 SANTA ANA CT.
SUNNYVALE,  CA  94085
Correspondent Contact ELAINE APLAON
Regulation Number876.1500
Classification Product Code
FDF  
Date Received10/09/2009
Decision Date 11/05/2009
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Gastroenterology/Urology
510k Review Panel Gastroenterology/Urology
Summary Summary
Type Special
Reviewed by Third Party No
Combination Product No
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