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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Table, Radiographic, Tilting
510(k) Number K911267
Device Name RADIOGRAPHIC/FLUOROSCOPIC TABLE MODEL 9004
Applicant
Tri W-G, Inc.
P.O. Box 905
Valley City,  ND  58072
Applicant Contact DAVID KESLER
Correspondent
Tri W-G, Inc.
P.O. Box 905
Valley City,  ND  58072
Correspondent Contact DAVID KESLER
Regulation Number892.1980
Classification Product Code
IXR  
Date Received03/11/1991
Decision Date 04/03/1991
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Radiology
510k Review Panel Radiology
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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