Accordion Stone Management Device Model AC281205 and AC3814510

FDA 510(k) K102887 · Percutaneous Systems, Inc.

Substantially Equivalent

510(k) numberK102887

Submission

Device name
Accordion Stone Management Device Model AC281205 and AC3814510
Applicant
Percutaneous Systems, Inc.
Palo Alto, CA, US
Received
September 30, 2010
Decision date
May 16, 2011
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
FFL – Dislodger, Stone, Basket, Ureteral, Metal
Device class
Class II (moderate risk)
Regulation
21 CFR 876.4680
Specialty
Gastroenterology, Urology

Other 510(k)s with product code FFL

510(k)DeviceApplicantDecision
K190492Peralta Stone Removal CatheterFFL · Traditional Calcula Technologies, Inc.07/18/2019SE
K172299Accordion Piccolo Stone Management DeviceFFL · Special Ths International, Inc. D/B/A Accordion Medical09/19/2017SE
K082803Coaxial Accordion Stone Management Device, Model: COAC12005 - COA20015FFL · Traditional Percutaneous Systems, Inc.11/13/2008SE
K052048AccordionFFL · Traditional Percutaneous Systems, Incorporated09/13/2005SE
K012581Reprocessed Stone Retrieval BasketsFFL · Traditional Sterilmed, Inc.02/14/2002SE
K972091Ams Foreign Body ExtratorFFL · Traditional American Medical Systems, Inc.08/29/1997SE
K970489Comeg Endoscopy Grasping ForcepsFFL · Traditional Comeg Endoscopy03/19/1997SE
K962387Olympus FG-45/46-1 Grasping Forceps(Urology)FFL · Traditional Olympus America, Inc.07/31/1996SE
K961248Bard Plat. Class 3 French Ureteroscopic Flat Wire Stone, Torque Helical Stone…FFL · Traditional C.R. Bard, Inc.05/28/1996SE
K955049Olympus FG-45/46-1 Grasping ForcepsFFL · Traditional Olympus America, Inc.12/15/1995SE

More from Olympus America, Inc.

510(k)DeviceDecision
K090485Coaxial Accordion Ercp Device, Models C0AC19001, COAC20005, COAC22003LQR · Traditional 07/22/2009SE
K082803Coaxial Accordion Stone Management Device, Model: COAC12005 - COA20015FFL · Traditional 11/13/2008SE
K061766Expressway Intermittent CatheterEZD · Traditional 03/09/2007SE
K052298Cystoglide Introducer SheathKNY · Traditional 12/12/2006SE
K052134Cystoglide Dilating Introducer SheathKNY · Traditional 09/22/2005SE
K052048AccordionFFL · Traditional 09/13/2005SE
K042531Updated Slip Urology Introducer SheathKNY · Special 02/01/2005SE
K042877Microverter Ureteral Access SheathKNY · Traditional 11/16/2004SE
K040520Slip Urology Introducer SheathKNY · Traditional 05/20/2004SE
K040519Slip Urology CatheterEZD · Traditional 05/20/2004SE

Questions and answers

When was Accordion Stone Management Device Model AC281205 and AC3814510 cleared by the FDA?

Accordion Stone Management Device Model AC281205 and AC3814510 (K102887) received a 510(k) decision of Substantially Equivalent on May 16, 2011, 228 days after the submission was received.

What is the product code of K102887?

The FDA product code is FFL – Dislodger, Stone, Basket, Ureteral, Metal, a Class II (moderate risk) device regulated under 21 CFR 876.4680.