510(k) K210177

PENTAX Medical Video Upper GI Scopes EG17-J10 by Pentax of America, Inc. — Product Code FDS

K210177 is an FDA 510(k) premarket notification submitted by Pentax of America, Inc. for the device "PENTAX Medical Video Upper GI Scopes EG17-J10". The FDA issued a decision of Substantially Equivalent on October 20, 2021. The device falls under product code FDS (Gastroscope And Accessories, Flexible/Rigid), a Class II device regulated under 21 CFR 876.1500. Pentax of America, Inc. has at least 10 other 510(k) clearances on record.

Clearance Details

Decision
SESE (Substantially Equivalent)
Decision Date
October 20, 2021
Date Received
January 22, 2021
Clearance Type
Traditional
Expedited Review
No
Third Party Review
No

Device Classification

Device Name
Gastroscope And Accessories, Flexible/Rigid
Device Class
Class II
Regulation Number
876.1500
Review Panel
GU
Submission Type

To examine or perform procedures in the stomach. For reusable, flexible endoscopes in this product code, validated reprocessing instructions and reprocessing validation data must be included in a 510(k) submission (82 FR 26807, available at https://www.gpo.gov/fdsys/pkg/FR-2017-06-09/pdf/2017-12007.pdf).