Yours Truly Asymmetrical Breast Form

FDA 510(k) K911247 · Jobst Institute, Inc.

Substantially Equivalent

510(k) numberK911247

Submission

Device name
Yours Truly Asymmetrical Breast Form
Applicant
Jobst Institute, Inc.
Toledo, OH, US
Received
March 21, 1991
Decision date
March 29, 1991
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)

Official FDA 510(k) record

Device classification

Product code
KCZ – Prosthesis, Breast, External, Used With Adhesive
Device class
Class I (low risk)
Regulation
21 CFR 878.3800
Specialty
General, Plastic Surgery

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K933465CosmetKCZ · Traditional Great Bay Medical Products, Inc.07/20/1994SE
K932978Calssique or MystiqueKCZ · Traditional Dekumed, Kunststofftechnik Degler GmbH12/22/1993SE
K932899ClassiqueKCZ · Traditional Hemispheres Marketing Co. , Ltd.12/16/1993SE
K933668Almost U, Inc. Breast ProsthesisKCZ · Traditional Almost U., Inc.12/10/1993SE
K921535Suoena Affinity (TM) Model #802KCZ · Traditional Coloplast Corp.05/11/1992SE
K915382Amoena Affinity Model #802KCZ · Traditional Coloplast Corp.01/14/1992SE
K904085Ella Breast FormKCZ · Traditional Coloplast A/S10/31/1990SE
K904316Nouvelle (TM) Model #901, Sizes 0-12, Left & RightKCZ · Traditional Coloplast Corp.10/11/1990SE

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K922681Cutinova FoamKMF · Traditional 08/31/1992SE
K921562Jobst Extremity Pump System 7500JOW · Traditional 06/22/1992SE
K920444UltimateDWL · Traditional 04/20/1992SE
K912232UlcercareMCY · Traditional 08/14/1991SE
K905631Comprinet, Comtesse and Bellavar StockingsDWL · Traditional 03/07/1991SE

Questions and answers

When was Yours Truly Asymmetrical Breast Form cleared by the FDA?

Yours Truly Asymmetrical Breast Form (K911247) received a 510(k) decision of Substantially Equivalent on March 29, 1991, 8 days after the submission was received.

What is the product code of K911247?

The FDA product code is KCZ – Prosthesis, Breast, External, Used With Adhesive, a Class I (low risk) device regulated under 21 CFR 878.3800.