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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 K153483
Device Name Balloon controller PB-30
Applicant
Fujifilm Medical Systems U.S.A, Inc.
10 High Pt. Dr.
Wayne,  NJ  07470
Applicant Contact Aaron Ge
Correspondent
Fujifilm Medical Systems U.S.A, Inc.
10 High Pt. Dr.
Wayne,  NJ  07470
Correspondent Contact Aaron Ge
Regulation Number876.1500
Classification Product Code
FDF  
Subsequent Product Code
FDA  
Date Received12/03/2015
Decision Date 12/15/2015
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
Predetermined Change
Control Plan Authorized
No
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