Given Pillcam Platform Will Pillcam SB Capsules, Eso Capsules, Given Agile Patency System

FDA 510(k) K090557 · Given Imaging , Ltd.

Substantially Equivalent

510(k) numberK090557

Submission

Device name
Given Pillcam Platform Will Pillcam SB Capsules, Eso Capsules, Given Agile Patency System
Applicant
Given Imaging , Ltd.
Yoqneaam, IL
Received
March 2, 2009
Decision date
September 28, 2009
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
NSI – System, Imaging, Esophageal, Wireless, Capsule
Device class
Class II (moderate risk)
Regulation
21 CFR 876.1300
Specialty
Gastroenterology, Urology

THE CAPSULE IS A DISPOSABLE, INGESTIBLE CAPSULE DESIGNED TO ACQUIRE VIDEO IMAGES OF THE ESOPHAGUS. THE CAPSULE TRANSMITS THE ACQUIRED IMAGES VIA RF COMMUNICATION CHANNEL TO A DATA RECORDER LOCATED OUTSIDE THE BODY. THE DIAGNOSTIC IMAGING SYSTEM IS INTENDED FOR VISUALIZATION OF THE ESOPHAGUS RATHER THAN THE SMALL BOWEL.

Other 510(k)s with product code NSI

510(k)DeviceApplicantDecision
K180171PillCam Patency SystemNSI · Traditional Given Imaging , Ltd.03/08/2018SE
K071153Given Diagnostic System with Pillcam ESO2 CapsuleNSI · Special Given Imaging , Ltd.06/11/2007SE
K060805Modification to Given Diagnostic SystemNSI · Special Given Imaging , Ltd.05/24/2006SE
K052184Given Diagnostic SystemNSI · Traditional Given Imaging , Ltd.12/01/2005SE
K042960Given Diagnostic System with Pillcam EsoNSI · Special Given Imaging , Ltd.11/24/2004SE
K041149Given Diagnostic System with M2A Eso CapsuleNSI · Traditional Given Imaging , Ltd.10/25/2004SE

More from Given Imaging , Ltd.

510(k)DeviceDecision
K180171PillCam Patency SystemNSI · Traditional 03/08/2018SE
K170210PillCam SBC capsule endoscopy system, PilCam Desktop Software 9.0NEZ · Traditional 09/01/2017SE
K170839RAPID WebNEZ · Traditional 05/26/2017SE
K151086ManoScan SystemFFX · Traditional 04/28/2016SE
K153466PillCam COLON 2 Capsule Endoscopy SystemPGD · Traditional 01/14/2016SE
K140284Given Pillcam Ugi Capsule Endoscopy SystemNEZ · Traditional 12/17/2014SE
K123864Given Pillcam Endoscopy System with Rapid 8.0, Given Pillcam SB 3 Capsule Endoscopy SystemNEZ · Traditional 08/12/2013SE
K103025Given Pillcam Platform with Rapid 6.5 / Given Pillcam Platform with Pillcam Eso 3 CapsulesNEZ · Traditional 05/13/2011SE
K101250Given Pillcam Platform with Pillcam SB CapsulesNEZ · Traditional 03/07/2011SE
K103088Given Pillcam Platform with Pillcam SB Capsuleswith Pillcam R SensorbeltNEZ · Traditional 01/14/2011SE

Questions and answers

When was Given Pillcam Platform Will Pillcam SB Capsules, Eso Capsules, Given Agile Patency System cleared by the FDA?

Given Pillcam Platform Will Pillcam SB Capsules, Eso Capsules, Given Agile Patency System (K090557) received a 510(k) decision of Substantially Equivalent on September 28, 2009, 210 days after the submission was received.

What is the product code of K090557?

The FDA product code is NSI – System, Imaging, Esophageal, Wireless, Capsule, a Class II (moderate risk) device regulated under 21 CFR 876.1300.