Web II Memory Extraction Basket or Memory II Double Lumen Extraction Basket, Memory 5 Fr. Soft Wire Baskets or Memory Helical Stone Extractor, Memory Eight Wire Baskets or Memory Hard Wire Baskets, Fusion Wire Guided Extraction Basket, Non-Lithotripsy Extraction Basket

FDA 510(k) K171969 · Wilson-Cook Medical, Inc.

Substantially Equivalent

510(k) numberK171969

Submission

Device name
Web II Memory Extraction Basket or Memory II Double Lumen Extraction Basket, Memory 5 Fr. Soft Wire Baskets or Memory Helical Stone Extractor, Memory Eight Wire Baskets or Memory Hard Wire Baskets, Fusion Wire Guided Extraction Basket, Non-Lithotripsy Extraction Basket
Applicant
Wilson-Cook Medical, Inc.
Winston-Salem, NC, US
Received
June 30, 2017
Decision date
March 28, 2018
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
LQR – Dislodger, Stone, Biliary
Device class
Class II (moderate risk)
Regulation
21 CFR 876.5010
Specialty
Gastroenterology, Urology

Other 510(k)s with product code LQR

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K253056Disposable Stone Extraction BasketLQR · Traditional Zhejiang Soudon Medical Technology Co., Ltd.04/03/2026SE
K243807Single Use Retrieval Basket V FG-V421PR/V422PR/V431P/V432PLQR · Traditional Olympus Medical Systems Corp.03/18/2025SE
K243471Extraction BasketLQR · Traditional Micro-Tech (Nanjing) Co., Ltd.12/16/2024SE
K240192Single-use Extraction BasketsLQR · Traditional Scivita Medical Technology Co., Ltd.10/15/2024SE
K230598Stone Extraction BasketsLQR · Traditional Jiangsu Vedkang Medical Science and Technology…09/12/2023SE
K203322SpyGlass Discover Retrieval BasketLQR · Traditional Boston Scientific Corporation05/26/2021SE
K201509Disposable Stone Extraction basketLQR · Traditional Hangzhou AGS MedTech Co., Ltd.12/16/2020SE
K191789Stonetome Stone Removal DeviceLQR · Special Boston Scientific Corporation07/25/2019SESK
K182381Wilson-Cook Mini BasketLQR · Traditional Wilson-Cook Medical, Inc.10/30/2018SE
K171915Nathanson Transcystic Bile Duct Stone Exploration PackLQR · Traditional Cook Incorporated03/01/2018SE

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Questions and answers

When was Web II Memory Extraction Basket or Memory II Double Lumen Extraction Basket, Memory 5 Fr. Soft Wire Baskets or Memory Helical Stone Extractor, Memory Eight Wire Baskets or Memory Hard Wire Baskets, Fusion Wire Guided Extraction Basket, Non-Lithotripsy Extraction Basket cleared by the FDA?

Web II Memory Extraction Basket or Memory II Double Lumen Extraction Basket, Memory 5 Fr. Soft Wire Baskets or Memory Helical Stone Extractor, Memory Eight Wire Baskets or Memory Hard Wire Baskets, Fusion Wire Guided Extraction Basket, Non-Lithotripsy Extraction Basket (K171969) received a 510(k) decision of Substantially Equivalent on March 28, 2018, 271 days after the submission was received.

What is the product code of K171969?

The FDA product code is LQR – Dislodger, Stone, Biliary, a Class II (moderate risk) device regulated under 21 CFR 876.5010.