Desara TV EZ 3.0 System, Desara Blue TV EZ 3.0 System, Desara TV EZ 2.7 System, Desara Blue TV EZ 2.7 System

FDA 510(k) K211975 · Caldera Medical, Inc.

Substantially Equivalent

510(k) numberK211975

Submission

Device name
Desara TV EZ 3.0 System, Desara Blue TV EZ 3.0 System, Desara TV EZ 2.7 System, Desara Blue TV EZ 2.7 System
Applicant
Caldera Medical, Inc.
Westlake Village, CA, US
Received
June 25, 2021
Decision date
November 10, 2021
Decision
Substantially Equivalent (SESE)
Type
Special 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
OTN – Mesh, Surgical, Synthetic, Urogynecologic, For Stress Urinary Incontinence, Retropubic Or Transobturator
Device class
Class II (moderate risk)
Regulation
21 CFR 878.3300
Specialty
General, Plastic Surgery
Implant
Yes

Surgical treatment of female stress urinary incontinence due to intrinsic sphincter deficiency (isd) and/or urethral hypermobility

Other 510(k)s with product code OTN

510(k)DeviceApplicantDecision
K231549Advantage Ultra System, Advantage Fit Ultra System, Lynx Ultra SystemOTN · Special Boston Scientific Corporation06/29/2023SE
K222293ArcSP Suprapubic Sling SystemOTN · Special Urocure, LLC09/21/2022SE
K222468ArcTO Transobturator Sling SystemOTN · Special Urocure, LLC09/15/2022SE
K211223Advantage Ultra System, Advantage Fit Ultra System, Lynx Ultra SystemOTN · Traditional Boston Scientific Corporation07/21/2021SE
K210087Athena Surgical RMUS SystemOTN · Traditional Athena Surgical, LLC04/12/2021SE
K201686GYNECARE TVT™ System, GYNECARE TVT™ with Abdominal Guides System, GYNECARE TVT™…OTN · Traditional ETHICON, Inc.09/17/2020SE
K183134ArcTV Transvaginal Sling SystemOTN · Traditional Urocure, LLC02/07/2019SE
K162201Desara TV, Desara Blue TVOTN · Traditional Caldera Medical, Inc.01/11/2017SE
K140843Desara Blue Ov, Desara Blue SSOTN · Special Caldera Medical07/01/2014SE
K131229Sparc System and Monarc, Monarc, and Monarc C SystemsOTN · Special American Medical Systems12/05/2013SE

More from American Medical Systems

510(k)DeviceDecision
K233500Benesta Tissue Removal DeviceHIH · Special 11/30/2023SE
K192811BenestaTM Tissue Removal DeviceHIH · Traditional 10/23/2020SE
K192822Benesta HysteroscopeHIH · Traditional 09/09/2020SE
K193603Benesta Medical Sterilization TrayKCT · Traditional 07/20/2020SE
K191416Desara One Single Incision Sling System, 1 Pack ; Desara One Single Incision Sling…PAH · Traditional 02/07/2020SE
K172614Caldera Medical Transobturator Helical Introducer, Left; Caldera Medical Transobturator…PWJ · Traditional 05/04/2018SE
K162201Desara TV, Desara Blue TVOTN · Traditional 01/11/2017SE
K150023Vertessa Lite Y-MeshOTO · Traditional 04/06/2015SE
K150016Vertessa LiteOTO · Traditional 04/06/2015SE
K140843Desara Blue Ov, Desara Blue SSOTN · Special 07/01/2014SE

Questions and answers

When was Desara TV EZ 3.0 System, Desara Blue TV EZ 3.0 System, Desara TV EZ 2.7 System, Desara Blue TV EZ 2.7 System cleared by the FDA?

Desara TV EZ 3.0 System, Desara Blue TV EZ 3.0 System, Desara TV EZ 2.7 System, Desara Blue TV EZ 2.7 System (K211975) received a 510(k) decision of Substantially Equivalent on November 10, 2021, 138 days after the submission was received.

What is the product code of K211975?

The FDA product code is OTN – Mesh, Surgical, Synthetic, Urogynecologic, For Stress Urinary Incontinence, Retropubic Or Transobturator, a Class II (moderate risk) device regulated under 21 CFR 878.3300.