Third Eye Retroscope Auxiliary Endoscope System

FDA 510(k) K091783 · Avantis Medical Systems, Inc.

Substantially Equivalent

510(k) numberK091783

Submission

Device name
Third Eye Retroscope Auxiliary Endoscope System
Applicant
Avantis Medical Systems, Inc.
Sunnyvale, CA, US
Received
June 17, 2009
Decision date
July 7, 2009
Decision
Substantially Equivalent (SESE)
Type
Special 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
FDF – Colonoscope And Accessories, Flexible/Rigid
Device class
Class II (moderate risk)
Regulation
21 CFR 876.1500
Specialty
Gastroenterology, Urology

To examine or perform procedures in the colon or rectum 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).

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More from Actuated Medical, Inc.

510(k)DeviceDecision
K160356Third Eye Panoramic Auxiliary Endoscopy System - ResposableFDF · Traditional 05/17/2016SE
K140595Third Eye Panoramic Auxiliary Endoscopy SystemFDF · Traditional 11/17/2014SE
K093187Modification to Third Eye Retroscope Auxiliary Endoscopy SystemFDF · Special 11/05/2009SE
K083180Third Eye Retroscope Auxiliary Endoscopy SystemFDF · Traditional 02/12/2009SE
K070330Third Eye Retroscope Auxiliary Endoscopy SystemFDF · Traditional 04/24/2007SE

Questions and answers

When was Third Eye Retroscope Auxiliary Endoscope System cleared by the FDA?

Third Eye Retroscope Auxiliary Endoscope System (K091783) received a 510(k) decision of Substantially Equivalent on July 7, 2009, 20 days after the submission was received.

What is the product code of K091783?

The FDA product code is FDF – Colonoscope And Accessories, Flexible/Rigid, a Class II (moderate risk) device regulated under 21 CFR 876.1500.