EverLift Submucosal Lifting Agent

FDA 510(k) K202376 · Gi Supply, Inc.

Substantially Equivalent

510(k) numberK202376

Submission

Device name
EverLift Submucosal Lifting Agent
Applicant
Gi Supply, Inc.
Mechanicsburg, PA, US
Received
August 20, 2020
Decision date
September 30, 2020
Decision
Substantially Equivalent (SESE)
Type
Special 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
PLL – Submucosal Injection Agent
Device class
Class II (moderate risk)
Regulation
21 CFR 876.1500
Specialty
Gastroenterology, Urology

Intended for use in gastrointestinal endoscopic procedures for submucosal lift of polyps, adenomas, early-stage cancers or other gastrointestinal mucosal lesions, prior to excision with a snare or endoscopic device.

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K260997Sis Blu (SISBLU-30-01);SIS Blu (SISBLU-15-01)PLL · Traditional Endoclot Plus Co., Ltd.09/09/2026SE
K241591Blue EyePLL · Special The Standard Co., Ltd.07/03/2024SE
K220434Blue Eye (TS-905)PLL · Traditional The Standard Co., Ltd.08/12/2022SE
K221385LiftUp (Ref. Nr.: 200.56.01), LiftUp Kit (Ref. Nr.: 200.56.02)PLL · Traditional Ovesco Endoscopy AG08/11/2022SE
K200071Blue Beacon Submucosal Injectable SolutionPLL · Traditional Micro-Tech (Nanjing) Co., Ltd.11/03/2020SE
K191923EverLift Submucosal Lifting AgentPLL · Traditional Gi Supply06/20/2020SE
K191254EndoClotPLL · Traditional Endoclot Plus Co., Ltd.01/30/2020SE
K180068ORISE GelPLL · Traditional Boston Scientific09/28/2018SE
K150852Sic 8000PLL · Traditional Cosmo Technologies, Ltd.09/03/2015SE

More from Cosmo Technologies, Ltd.

510(k)DeviceDecision
K221042Renova RP Centesis PumpBTA · Traditional 04/19/2023SE
K191923EverLift Submucosal Lifting AgentPLL · Traditional 06/20/2020SE
K031360Gi Supply Biliary StentFGE · Traditional 09/24/2003SE
K012411Hp-OneLYR · Traditional 09/25/2001SE
K970187Runyon Large Volume Paracentesis KitLRO · Traditional 02/14/1997SE
K970186Gi Supply Paracentesis PumpBTA · Traditional 02/14/1997SE
K944903Hp-FastLYR · Traditional 04/20/1995SE
K931044Oxy-BlocMNK · Traditional 10/04/1993SE
K915816Bite Block/Mouthpiece for EndoscopyEOQ · Traditional 03/27/1992SE

Questions and answers

When was EverLift Submucosal Lifting Agent cleared by the FDA?

EverLift Submucosal Lifting Agent (K202376) received a 510(k) decision of Substantially Equivalent on September 30, 2020, 41 days after the submission was received.

What is the product code of K202376?

The FDA product code is PLL – Submucosal Injection Agent, a Class II (moderate risk) device regulated under 21 CFR 876.1500.