510(k) K221124

MANTIS Clip by Boston Scientific Corporation — Product Code PKL

K221124 is an FDA 510(k) premarket notification submitted by Boston Scientific Corporation for the device "MANTIS Clip". The FDA issued a decision of Substantially Equivalent on Aug 4, 2022. The device falls under product code PKL (Hemostatic Metal Clip For The Gi Tract), a Class II device regulated under 21 CFR 876.4400. Boston Scientific Corporation has 238 other 510(k) clearances on record.

Clearance Details

Decision
SESE (Substantially Equivalent)
Decision Date
Aug 4, 2022
Date Received
Apr 18, 2022
Clearance Type
Traditional
Expedited Review
No
Third Party Review
No

Device Classification

Device Name
Hemostatic Metal Clip For The Gi Tract
Device Class
Class II
Regulation Number
876.4400
Review Panel
GU
Submission Type
510(k)

Clip placement within the gastrointestinal (GI) tract for the purpose of endoscopic marking, hemostasis for mucosal/sub-mucosal defects, bleeding ulcers, arteries, polyps, diverticula in the colon, prophylactic clipping, anchoring feeding tubes, supplemental closure method of luminal perforations.