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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Lithotriptor, Electro-Hydraulic
510(k) Number K191124
Device Name Swiss LithoClast Trilogy
Applicant
E.M.S Electro Medical Systems S.A
Ch. De La Vuarpilliere 31
Nyon,  CH 1260
Applicant Contact Timothee Deblock
Correspondent
Heyer Regulatory Solutions, LLC
125 Cherry Lane
Amherst,  MA  01002
Correspondent Contact Sheila Hemeon-Heyer
Regulation Number876.4480
Classification Product Code
FFK  
Subsequent Product Code
FEO  
Date Received04/29/2019
Decision Date 05/29/2019
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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