K Number
K111825
Device Name
ENDO GIA(TM) STAPLERS, DST SERIES(TM) GIA(TM) STAPLERS, DST SERIES(TM) TA(TM) STAPLERS
Date Cleared
2011-10-25

(119 days)

Product Code
Regulation Number
878.4750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Endo GIA™ Staplers: The Endo GIA™ Staplers have applications in abdominal, gynecologic, pediatric and thoracic surgery for resection, transection and creation of anastomosis. They may be used for transection and resection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas. Endo GIA™ Radial Reload with Tri-Staple™ Technology: The Endo GIA™ Radial Reload with Tri-Staple™ Technology has application in open or minimally invasive general abdominal, gynecologic, pediatric and thoracic surgery for resection and transection of tissue and creation of anastomosis, as well as application deep in the pelvis, i.e. low anterior resection. It may be used for transection and resection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas. DST Series™ GIA™ Staplers: The DST Series™ GIA™ Staplers and the DST Series™ SGIA™ Knifeless Stapler have applications in abdominal, gynecological, pediatric and thoracic surgical procedures for resection, transection and creation of anastomosis. The SGIA™ Knifeless stapler may be used for occlusion of the left atrial appendage in open procedures. They may be used for transection and resection of pancreas. DST Series™ TA™ Staplers: The Auto Suture™ TA™ Reloadable staplers have applications in abdominal, gynecological, pediatric and thoracic surgical procedures for resection or transection of tissue and creation of anastomosis, including occlusion of the left atrial appendage in open procedures. They may be used for transection and resection of pancreas.
Device Description
The Endo GIA™ Stapler places two, triple-staggered rows of titanium staples and simultaneously divides the tissue between the two, triple-staggered rows. The size of the staples is determined by the selection of the appropriate single use reload that is available in 30, 45 and 60 mm lengths as well as being available with optional Duet TRS™ staple line reinforcement material and optional curved-tip anvil for reloads with Tri-Staple™ Technology. The Endo GIA™ Single Use Radial Reload with Tri-Staple™ Technology places two, triple-staggered rows of titanium staples and simultaneously divides the tissue between the two, triple-staggered rows. The size of the staples is determined by the selection of the appropriate single use reload that is available in a 60 mm length only. The DST Series™ GIA™ Stapler place two double staggered rows of titanium staples and simultaneously divides the tissue between the two double rows. The size of the staples is determined by the selection of the appropriate single use reload that is available in 60, 80 and 100 mm lengths. The DST Series™ SGIA™ Knifeless Stapler places two double staggered rows of titanium staples. The size of the staples is determined by the selection of a 2.5 mm staple size single use reload available in a 60 mm length only. The DST Series™ TA™ Stapler places a double staggered row of titanium staples. The size of the staples is determined by the selection of the appropriate single use reload that is available in 30, 45, 60 and 90 mm lengths.
More Information

Not Found

No
The device description and intended use focus on mechanical stapling technology and do not mention any AI or ML components. There is no mention of image processing, AI/ML terms, or data sets for training or testing.

No

The device is described as a surgical stapler used for resection, transection, and creation of anastomosis during surgical procedures. Its function is to mechanically cut and staple tissue, which is a surgical tool function, not for treating or rehabilitating a medical condition.

No

This device is a surgical stapler used for cutting and sealing tissue during surgical procedures. It does not perform any diagnostic functions.

No

The device description clearly details physical components like staplers, staples, and reloads, indicating it is a hardware medical device.

Based on the provided information, these devices are not IVDs (In Vitro Diagnostics).

Here's why:

  • Intended Use: The intended use clearly describes surgical procedures for resection, transection, and creation of anastomosis in various anatomical locations. This involves direct interaction with and manipulation of living tissue within the body.
  • Device Description: The device description details the mechanical function of the staplers and reloads, which are used to physically cut and staple tissue.
  • Lack of IVD Characteristics: There is no mention of the devices being used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or treatment.

IVDs are used in vitro (outside the body) to analyze biological samples. These devices are used in vivo (inside the body) during surgical procedures.

N/A

Intended Use / Indications for Use

Endo GIA™ Staplers:
The following indications are applicable to the Endo GIA™ Ultra Universal Stapler with Endo GIA™ Reloads with Tri-Staple™ Technology including Curved Tip Reloads:

The Endo GIA™ Ultra Universal Staplers have applications in abdominal, gynecologic, pediatric and thoracic surgery for resection and creation of anastomosis. They may be used for transection and resection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

The Endo GIA™ Ultra Universal Staplers when used with the Endo GIA™ Curved-Tip Reloads can be used to blunt dissect or separate target tissue from other certain tissue.

The following indications are applicable to the Endo GIA™ Ultra Universal Stapler with Duet TRS™ Reloads with Tri-Staple™ Technology including Duet TRS™ Curved Tip Reloads:

The Endo GIA™ Ultra Universal Staplers with Duet TRS™ Reloads with Tri-Staple™ Technology have applications in abdominal, gynecologic, pediatric and thoracic surgery for resection, transection, and creation of anastomosis. They may be used for transection and resection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

The Endo GIA™ Ultra Universal Staplers when used with the Duet TRS™ Curved-Tip Reloads can be used to blunt dissect or separate target tissue from other certain tissue.

The following indications are applicable to the Endo GIA™ Ultra Universal Stapler with Radial Reload with Tri-Staple™ Technology:

The Endo GIA™ Radial Reload with Tri-Staple™ Technology has application in open or minimally invasive general abdominal, gynecologic, pediatric and thoracic surgery for resection and transection of tissue and creation of anastomosis, as well as application deep in the pelvis, i.e. low anterior resection.

It may be used for transection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

The following indications are applicable to the Endo GIA™ Universal Stapler with Endo GIA™ Straight and Roticulator™ SULUs:

The Endo GIA™ Universal Staplers have applications in abdominal, gynecologic, pediatric and thoracic surgery for resection and creation and creation of anastomosis. They may be used for transection and resection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

The following indications are applicable to the Endo GIA™ Universal Stapler with Duet TRS™ Reloads:

The Endo GIA™ Ultra Universal Staplers with Duet TRS™ Reloads have applications in abdominal, gynecologic, pediatric and thoracic surgery for resection, transection, and creation of anastomosis. They may be used for transection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

DST Series™ GIA™:
The Auto Suture™ GIA™ Reloadable Staplers and the SGIA™ Knifeless Stapler have applications in abdominal, gynecological, pediatric and thoracic surgical procedures for resection, transection and creation of anastomosis. The SGIA™ Knifeless stapler may be used for occlusion of the left atrial appendage in open procedures. They may be used for transection and resection of pancreas.

DST Series™ TA™:
The Auto Suture™ TA™ Reloadable staplers have applications in abdominal, gynecological, pediatric and thoracic surgical procedures for resection of tissue and creation of anastomosis, including occlusion of the left atrial appendage in open procedures. They may be used for transection and resection of pancreas.

Product codes (comma separated list FDA assigned to the subject device)

GDW

Device Description

The Endo GIA™ Stapler places two, triple-staggered rows of titanium staples and simultaneously divides the tissue between the two, triple-staggered rows. The size of the staples is determined by the selection of the appropriate single use reload that is available in 30, 45 and 60 mm lengths as well as being available with optional Duet TRS™ staple line reinforcement material and optional curved-tip anvil for reloads with Tri-Staple™ Technology:

  • 2.0 mm staple size single use reload (gray cartridge)
  • 2.5 mm staple size single use reload (white cartridge
  • 3.5 mm staple size single use reload (blue cartridge)
  • 4.8 mm staple size single use reload (green cartridge)
  • 2.0, 2.5, 3.0 mm staple size single use reload with Tri-Staple™ Technology (tan cartridge)
  • 3.0, 3.5, 4.0 mm staple size single use reload with Tri-Staple™ Technology (purple cartridge)
  • 4.0, 4.5, 5.0 mm staple size single use reload with Tri-Staple™ Technology (black cartridge)
    The Endo GIA™ Single Use Radial Reload with Tri-Staple™ Technology places two, triple-staggered rows of titanium staples and simultaneously divides the tissue between the two, triple-staggered rows. The size of the staples is determined by the selection of the appropriate single use reload that is available in a 60 mm length only:
  • 3.0, 3.5, 4.0 mm staple size single use radial reload with Tri-Staple™ Technology (purple cartridge)

The DST Series™ GIA™ Stapler place two double staggered rows of titanium staples and simultaneously divides the tissue between the two double rows. The size of the staples is determined by the selection of the appropriate single use reload that is available in 60, 80 and 100 mm lengths:

  • 2.5 mm staple size single use reload (white cartridge) (60, 80, and 100 mm lengths)
  • 3.5 mm staple size single use reload (blue cartridge) (80 and 100 mm lengths only
  • 4.8 mm staple size single use reload (green cartridge) (80 and 100 mm lengths only)

The DST Series™ SGIA™ Knifeless Stapler places two double staggered rows of titanium staples. The size of the staples is determined by the selection of a 2.5 mm staple size single use reload available in a 60 mm length only.

The DST Series™ TA™ Stapler places a double staggered row of titanium staples. The size of the staples is determined by the selection of the appropriate single use reload that is available in 30, 45, 60 and 90 mm lengths:

  • 2.5 mm staple size single use reload (white cartridge) (30, 45, 60 and 90 mm lengths)
  • 3.5 mm staple size single use reload (blue cartridge) (45, 60 and 90 mm lengths only
  • 4.8 mm staple size single use reload (green cartridge) (45, 60 and 90 mm lengths only)

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

abdominal, gynecologic, pediatric and thoracic surgery, liver substance, hepatic vasculature and biliary structures, pancreas, pelvis, left atrial appendage

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

A clinical literature review was performed to demonstrate and support the clinical application of the Endo GIA™ Staplers, DST Series™ GIA™ Staplers and DST Series™ TA™ Staplers for transection and resection of pancreas.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K061095, K083519, K093410, K101444, K103263, K102291, K080898, K032696, K070887

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 878.4750 Implantable staple.

(a)
Identification. An implantable staple is a staple-like device intended to connect internal tissues to aid healing. It is not absorbable.(b)
Classification. Class II.

0

510(k) Summary of Safety and Effectiveness Surgical Devices, a global business unit SUBMITTER: of Tyco Healthcare Group LP (d/b/a Covidien) 60 Middletown Avenue North Haven, CT 06473 Tel. No .: (203) 492-5352 CONTACT PERSON: Frank Gianelli Senior Associate, Regulatory Affairs October 19, 2011 DATE PREPARED: Endo GIA™ Staplers TRADE/PROPRIETARY NAME: DST Series™ GIA™ Staplers DST Series™ TA™ Staplers Staple, Implantable COMMON/USUAL NAME: Staple, Implantable CLASSIFICATION NAME: a. Panel no and product code: 79-GDW b. Regulation no: 21 CFR 878.4750 Endo GIA™ Staplers (K061095, K083519, K093410, K101444, PREDICATE DEVICE(S): K103263, K102291, K080898) DST Series™ GIA™ Staplers (K032696) DST Series™ TA™ Staplers (K032696) ENDOPATH Linear Cutters and Staplers (K070887) (K070887 Echelon Linear Cutters and Staplers The Endo GIA™ Stapler places two, triple-staggered rows of DEVICE DESCRIPTION: titanium staples and simultaneously divides the tissue between the two, triple-staggered rows. The size of the staples is determined by the selection of the appropriate single use reload that is available in 30, 45 and 60 mm lengths as well as being available with optional Duet TRS™ staple line reinforcement material and optional curved-tip anvil for reloads with Tri-Staple™ Technology: · 2.0 mm staple size single use reload (gray cartridge) · 2.5 mm staple size single use reload (white cartridge · 3.5 mm staple size single use reload (blue cartridge) · 4.8 mm staple size single use reload (green cartridge) · 2.0, 2.5, 3.0 mm staple size single use reload with Tri-Staple™ Technology (tan cartridge) · 3.0, 3.5, 4.0 mm staple size single use reload with Tri-Staple™ Technology (purple cartridge) · 4.0, 4.5, 5.0 mm staple size single use reload with Tri-Staple™ Technology (black cartridge) The Endo GIA™ Single Use Radial Reload with Tri-Staple™ Technology places two, triple-staggered rows of titanium staples and simultaneously divides the tissue between the two, triple-staggered rows. The size of the staples is determined by the selection of the appropriate single use reload that is

  • available in a 60 mm length only: · 3.0, 3.5, 4.0 mm staple size single use radial reload with Tri-Staple™ Technology (purple cartridge)
    OCT 2 5 2011

1

The DST Series™ GIA™ Stapler place two double staggered rows of titanium staples and simultaneously divides the tissue between the two double rows. The size of the staples is determined by the selection of the appropriate single use reload that is available in 60, 80 and 100 mm lengths:

KIII825 0. 2 of

  • · 2.5 mm staple size single use reload (white cartridge) (60, 80, and 100 mm lengths)
  • · 3.5 mm staple size single use reload (blue cartridge) (80 and 100 mm lengths only
  • · 4.8 mm staple size single use reload (green cartridge) (80 and 100 mm lengths only)

The DST Series™ SGIA™ Knifeless Stapler places two double staggered rows of titanium staples. The size of the staples is determined by the selection of a 2.5 mm staple size single use reload available in a 60 mm length only.

The DST Series™ TA™ Stapler places a double staggered row of titanium staples. The size of the staples is determined by the selection of the appropriate single use reload that is available in 30, 45, 60 and 90 mm lengths:

  • · 2.5 mm staple size single use reload (white cartridge) (30, 45, 60 and 90 mm lengths)
  • · 3.5 mm staple size single use reload (blue cartridge) (45, 60 and 90 mm lengths only
  • · 4.8 mm staple size single use reload (green cartridge) (45, 60 and 90 mm lengths only)

INTENDED USE:

Endo GIA™ Staplers:

The Endo GIA™ Staplers have applications in abdominal, gynecologic, pediatric and thoracic surgery for resection, transection and creation of anastomosis. They may be used for transection and resection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

Endo GIA™ Radial Reload with Tri-Staple™ Technology:

The Endo GIA™ Radial Reload with Tri-Staple™ Technology has application in open or minimally invasive general abdominal, gynecologic, pediatric and thoracic surgery for resection and transection of tissue and creation of anastomosis, as well as application deep in the pelvis, i.e. low anterior resection. It may be used for transection and resection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

DST Series™ GIA™ Staplers:

The DST Series™ GIA™ Staplers and the DST Series™ SGIA™ Knifeless Stapler have applications in abdominal, gynecological, pediatric and thoracic surgical procedures for resection, transection and creation of anastomosis. The SGIA™ Knifeless stapler may be used for occlusion of the left atrial appendage in open procedures. They may be used for transection and resection of pancreas.

2

DST Series TM TATM Staplers:

The Auto Suture™ TA™ Reloadable staplers have applications in abdominal, gynecological, pediatric and thoracic surgical procedures for resection or transection of tissue and creation of anastomosis, including occlusion of the left atrial appendage in open procedures. They may be used for transection and resection of pancreas.

The Endo GIA™ Staplers, DST Series™ GIA™ Staplers and TECHNOLOGICAL DST Series™ TA™ Staplers are each identical to their CHARACTERISTICS: predicate device. The only change is the inclusion of a specific indication concerning each device's use for the transection and resection of pancreas as a subset of the general indication for each of these devices.

  • All components of the Endo GIA™ Staplers, DST Series™ MATERIALS: GIA™ Staplers and DST Series™ TA™ Staplers are comprised of materials, which are in accordance with ISO Standard 10993-1.

A clinical literature review was performed to demonstrate and PERFORMANCE DATA. support the clinical application of the Endo GIA™ Staplers, DST Series™ GIA™ Staplers and DST Series™ TA™ Staplers for transection and resection of pancreas.

3

Image /page/3/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized eagle with three lines forming its body and wings. The eagle is enclosed in a circle, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is written around the circle's perimeter.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

OCT 2 5 2011

Covidien % Mr. Frank Gianelli Senior Associate, Regulatory Affairs 60 Middletown Avenue North Haven, Connecticut 06473

Re: K111825

Trade/Device Name: Endo GIA"" Stapler, DST Series™ GIA™ Stapler and
DST Series™ Regulation Number: 21 CFR 878.4750 Regulation Name: Implantable staple Regulatory Class: Class II Product Code: GDW Dated: September 29, 2011 Received: September 30, 2011

Dear Mr. Gianelli:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Page 2 - Mr. Frank Gianelli

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours.

Eric Keith

ForMark N. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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111825

Indications For Use

510(k) Number (if known): 长川贸25

Device Name: Endo GIA™ Stapler, DST Series™ GIA™ Stapler and DST Series™ TA™ Stapler

Indications For Use:

Endo GIA™ Staplers:

The following indications are applicable to the Endo GIA™ Ultra Universal Stapler with Endo GIA™ Reloads with Tri-Staple™ Technology including Curved Tip Reloads:

The Endo GIA™ Ultra Universal Staplers have applications in abdominal, gynecologic, pediatric and thoracic surgery for resection and creation of anastomosis. They may be used for transection and resection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

The Endo GIA™ Ultra Universal Staplers when used with the Endo GIA™ Curved-Tip Reloads can be used to blunt dissect or separate target tissue from other certain tissue.

The following indications are applicable to the Endo GIA™ Ultra Universal Stapler with Duet TRS™ Reloads with Tri-Staple™ Technology including Duet TRS™ Curved Tip Reloads:

The Endo GIA™ Ultra Universal Staplers with Duet TRS™ Reloads with Tri-Staple™ Technology have applications in abdominal, gynecologic, pediatric and thoracic surgery for resection, transection, and creation of anastomosis. They may be used for transection and resection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

The Endo GIA™ Ultra Universal Staplers when used with the Duet TRS™ Curved-Tip Reloads can be used to blunt dissect or separate target tissue from other certain tissue.

The following indications are applicable to the Endo GIA™ Ultra Universal Stapler with Radial Reload with Tri-Staple™ Technology:

The Endo GIA™ Radial Reload with Tri-Staple™ Technology has application in open or minimally invasive general abdominal, gynecologic, pediatric and thoracic surgery for resection and transection of tissue and creation of anastomosis, as well as application deep in the pelvis, i.e. low anterior resection.

It may be used for transection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

The following indications are applicable to the Endo GIA™ Universal Stapler with Endo GIA™ Straight and Roticulator ™ SULUs:

The Endo GIA™ Universal Staplers have applications in abdominal, gynecologic, pediatric and thoracic surgery for resection and creation and creation of anastomosis. They may be used for transection and resection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

The following indications are applicable to the Endo GIA™ Universal Stapler with Duet TRS™ Reloads:

The Endo GIA™ Ultra Universal Staplers with Duet TRS™ Reloads have applications in abdominal, gynecologic, pediatric and thoracic surgery for resection, transection, and creation of

6

anastomosis. They may be used for transection of liver substance, hepatic vasculature and biliary structures and for transection and resection of pancreas.

DST Series ™ GIA™:

The Auto Suture™ GIA™ Reloadable Staplers and the SGIA™ Knifeless Stapler have applications in abdominal, gynecological, pediatric and thoracic surgical procedures for resection, transection and creation of anastomosis. The SGIA™ Knifeless stapler may be used for occlusion of the left atrial appendage in open procedures. They may be used for transection and resection of pancreas.

DST Series™ TA™:

The Auto Suture™ TA™ Reloadable staplers have applications in abdominal, gynecological, pediatric and thoracic surgical procedures for resection of tissue and creation of anastomosis, including occlusion of the left atrial appendage in open procedures. They may be used for transection and resection of pancreas.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Eriel Keith

Sign Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K111825