Modified Spacemaker System

FDA 510(k) K042412 · United States Surgical, A Division of Tyco Healthc

Substantially Equivalent

510(k) numberK042412

Submission

Device name
Modified Spacemaker System
Applicant
United States Surgical, A Division of Tyco Healthc
Norwalk, CT, US
Received
September 7, 2004
Decision date
September 24, 2004
Decision
Substantially Equivalent (SESE)
Type
Special 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
GCJ – Laparoscope, General & Plastic Surgery
Device class
Class II (moderate risk)
Regulation
21 CFR 876.1500
Specialty
Gastroenterology, Urology

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).

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Questions and answers

When was Modified Spacemaker System cleared by the FDA?

Modified Spacemaker System (K042412) received a 510(k) decision of Substantially Equivalent on September 24, 2004, 17 days after the submission was received.

What is the product code of K042412?

The FDA product code is GCJ – Laparoscope, General & Plastic Surgery, a Class II (moderate risk) device regulated under 21 CFR 876.1500.