510(k) K962104

AIRLIFT BALLOON RETRACTON SYSTEM by Origin Medsystems, Inc. — Product Code GCJ

K962104 is an FDA 510(k) premarket notification submitted by Origin Medsystems, Inc. for the device "AIRLIFT BALLOON RETRACTON SYSTEM". The FDA issued a decision of Substantially Equivalent on September 11, 1996. The device falls under product code GCJ (Laparoscope, General & Plastic Surgery), a Class II device regulated under 21 CFR 876.1500. Origin Medsystems, Inc. has at least 10 other 510(k) clearances on record.

Clearance Details

Decision
SESE (Substantially Equivalent)
Decision Date
September 11, 1996
Date Received
May 30, 1996
Clearance Type
Traditional
Expedited Review
No
Third Party Review
No

Device Classification

Device Name
Laparoscope, General & Plastic Surgery
Device Class
Class II
Regulation Number
876.1500
Review Panel
SU
Submission Type

Validated reprocessing instructions and reprocessing validation data for this device type must be included in a 510(k) submission if the device is reusable and has specific design features (please refer to Table 2 of 82 FR 26807, available at https://www.gpo.gov/fdsys/pkg/FR-2017-06-09/pdf/2017-12007.pdf).