510(k) K102887

ACCORDION STONE MANAGEMENT DEVICE MODEL AC281205 AND AC3814510 by Percutaneous Systems, Inc. — Product Code FFL

K102887 is an FDA 510(k) premarket notification submitted by Percutaneous Systems, Inc. for the device "ACCORDION STONE MANAGEMENT DEVICE MODEL AC281205 AND AC3814510". The FDA issued a decision of Substantially Equivalent on May 16, 2011. The device falls under product code FFL (Dislodger, Stone, Basket, Ureteral, Metal), a Class II device regulated under 21 CFR 876.4680. Percutaneous Systems, Inc. has at least 5 other 510(k) clearances on record.

Clearance Details

Decision
SESE (Substantially Equivalent)
Decision Date
May 16, 2011
Date Received
September 30, 2010
Clearance Type
Traditional
Expedited Review
No
Third Party Review
No

Device Classification

Device Name
Dislodger, Stone, Basket, Ureteral, Metal
Device Class
Class II
Regulation Number
876.4680
Review Panel
GU
Submission Type