The following data is part of a premarket notification filed by Medtronic Ps Medical with the FDA for Bipolar Pencil, Model 3901-002, 3900-002.
| Device ID | K010487 | 
| 510k Number | K010487 | 
| Device Name: | BIPOLAR PENCIL, MODEL 3901-002, 3900-002 | 
| Classification | Electrosurgical, Cutting & Coagulation & Accessories | 
| Applicant | MEDTRONIC PS MEDICAL 125 CREMONA DR. Goleta, CA 93117 -5500 | 
| Contact | Janet Mcauley | 
| Correspondent | Janet Mcauley MEDTRONIC PS MEDICAL 125 CREMONA DR. Goleta, CA 93117 -5500 | 
| Product Code | GEI | 
| CFR Regulation Number | 878.4400 [🔎] | 
| Decision | Substantially Equivalent (SESE) | 
| Type | Abbreviated | 
| 3rd Party Reviewed | No | 
| Combination Product | No | 
| Date Received | 2001-02-20 | 
| Decision Date | 2001-05-03 |