Sumo Access and Tissue Resection System

FDA 510(k) K103155 · Apollo Endosurgery, Inc.

Substantially Equivalent

510(k) numberK103155

Submission

Device name
Sumo Access and Tissue Resection System
Applicant
Apollo Endosurgery, Inc.
Austin, TX, US
Received
October 26, 2010
Decision date
October 28, 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
ODC – Endoscope Channel Accessory
Device class
Class II (moderate risk)
Regulation
21 CFR 876.1500
Specialty
Gastroenterology, Urology

To give the endoscope channel additional or improved functionality.

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K122270Overtube Endoscopic Access SystemFED · Traditional 09/28/2012SE
K082102Gastric Port, Models: GAP-0016-00, GAP-0018-00, GAP-0020-00FED · Traditional 06/14/2010SESU
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Questions and answers

When was Sumo Access and Tissue Resection System cleared by the FDA?

Sumo Access and Tissue Resection System (K103155) received a 510(k) decision of Substantially Equivalent on October 28, 2011, 367 days after the submission was received.

What is the product code of K103155?

The FDA product code is ODC – Endoscope Channel Accessory, a Class II (moderate risk) device regulated under 21 CFR 876.1500.