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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Electrosurgical, Cutting & Coagulation & Accessories
510(k) Number K192728
Device Name Agnes
Applicant
Agnes Medical Co., Ltd.
(Seohyeon-Dong, 5fcocoplaza), 20, Seohyeon-Ro 210beon-Gil,
Bundang-Gu
Seongnam-Si,  KR 13591
Applicant Contact SeungHwan Seo
Correspondent
KMC, Inc.
Rm. # 904, 27
Digital-Ro 27ga-Gil, Guro-Gu
Seoul,  KR 08375
Correspondent Contact DongHa Lee
Regulation Number878.4400
Classification Product Code
GEI  
Subsequent Product Code
KCW  
Date Received09/27/2019
Decision Date 10/24/2019
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General & Plastic Surgery
510k Review Panel General & Plastic Surgery
Summary Summary
Type Special
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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