Delta III Pro

FDA 510(k) K221903 · Dornier Medtech America, Inc.

Substantially Equivalent

510(k) numberK221903

Submission

Device name
Delta III Pro
Applicant
Dornier Medtech America, Inc.
Kennesaw, GA, US
Received
June 30, 2022
Decision date
February 22, 2023
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
LNS – Lithotriptor, Extracorporeal Shock-Wave, Urological
Device class
Class II (moderate risk)
Regulation
21 CFR 876.5990
Specialty
Gastroenterology, Urology

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K261086Break WaveLNS · Special Sonomotion, Inc.04/29/2026SE
K252913Break WaveLNS · Traditional Sonomotion, Inc.01/12/2026SE
K242922Extracorporeal Shock Wave Lithotripter (U200)LNS · Traditional Shenzhen Wikkon Precision Technologies Co., Ltd.06/18/2025SE
K213772LM-9300 Plus LithotripterLNS · Traditional Lite-Med, Inc.01/19/2023SE
K201001Modulith SLX-F2LNS · Traditional Karl Storz Endoscopy America03/30/2021SE
K201074Delta III LithotripterLNS · Traditional Dornier Medtech America, Inc.09/03/2020SE
K172084Delta III LithotripterLNS · Special Dornier Medtech America, Inc.08/08/2017SE
K170122Delta III LithotripterLNS · Traditional Dornier Medtech America06/28/2017SE
K151298Gemini XXP-HPLNS · Traditional Dornier Medtech America07/30/2015SE
K142561LM-9300 ELMA LithotripterLNS · Abbreviated Lite-Med, Inc.03/20/2015SE

More from Lite-Med, Inc.

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K233380TRIDENT Mobile Fluoroscopy SystemJAA · Traditional 06/26/2024SE
K213252Dornier ThulioGEX · Traditional 07/27/2022SE
K220871NautilusJAA · Special 04/18/2022SE
K210394Electrosurgical accessoryFAS · Traditional 05/19/2021SE
K201815Dornier MAGELLAN Ureteral Access SheathFED · Traditional 11/20/2020SE
K201074Delta III LithotripterLNS · Traditional 09/03/2020SE
K190612EQUINOX Balloon Dilatation CatheterEZN · Traditional 12/06/2019SE
K190312Dornier Ureteral StentFAD · Traditional 11/15/2019SE
K191187Dornier MINNOW Ureteral CatheterEYB · Traditional 09/18/2019SE

Questions and answers

When was Delta III Pro cleared by the FDA?

Delta III Pro (K221903) received a 510(k) decision of Substantially Equivalent on February 22, 2023, 237 days after the submission was received.

What is the product code of K221903?

The FDA product code is LNS – Lithotriptor, Extracorporeal Shock-Wave, Urological, a Class II (moderate risk) device regulated under 21 CFR 876.5990.