Disposable Dual Action Tissue Closure Device

FDA 510(k) K233772 · Mirco-Tech (Nanjing) Co., Ltd.

Substantially Equivalent

510(k) numberK233772

Submission

Device name
Disposable Dual Action Tissue Closure Device
Applicant
Mirco-Tech (Nanjing) Co., Ltd.
Nanjing, CN
Received
November 24, 2023
Decision date
March 19, 2024
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
PKL – Hemostatic Metal Clip For The Gi Tract
Device class
Class II (moderate risk)
Regulation
21 CFR 876.4400
Specialty
Gastroenterology, Urology
Implant
Yes
Life-sustaining
Yes

Clip placement within the gastrointestinal (GI) tract for the purpose of endoscopic marking, hemostasis for mucosal/sub-mucosal defects, bleeding ulcers, arteries, polyps, diverticula in the colon, prophylactic clipping, anchoring feeding tubes, supplemental closure method of luminal perforations.

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K252271HemoclipPKL · Traditional Hangzhou AGS MedTech Co., Ltd.11/12/2025SE
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Questions and answers

When was Disposable Dual Action Tissue Closure Device cleared by the FDA?

Disposable Dual Action Tissue Closure Device (K233772) received a 510(k) decision of Substantially Equivalent on March 19, 2024, 116 days after the submission was received.

What is the product code of K233772?

The FDA product code is PKL – Hemostatic Metal Clip For The Gi Tract, a Class II (moderate risk) device regulated under 21 CFR 876.4400.