The following data is part of a premarket notification filed by Ez-blocker B.v. with the FDA for Ez-blocker.
| Device ID | K121462 |
| 510k Number | K121462 |
| Device Name: | EZ-BLOCKER |
| Classification | Tube, Tracheal/bronchial, Differential Ventilation (w/wo Connector) |
| Applicant | EZ-BLOCKER B.V. 4655 KIRKWOOD COURT Boulder, CO 80301 |
| Contact | Lewis Ward |
| Correspondent | Lewis Ward EZ-BLOCKER B.V. 4655 KIRKWOOD COURT Boulder, CO 80301 |
| Product Code | CBI |
| CFR Regulation Number | 868.5740 [🔎] |
| Decision | Substantially Equivalent (SESE) |
| Type | Traditional |
| 3rd Party Reviewed | No |
| Combination Product | No |
| Date Received | 2012-05-17 |
| Decision Date | 2012-09-28 |
| Summary: | summary |
| Device Identifier | submissionNumber | Supplement |
|---|---|---|
| 24026704589955 | K121462 | 000 |
| 34026704743347 | K121462 | 000 |
Mark Image Registration | Serial | Company Trademark Application Date |
|---|---|
![]() EZ-BLOCKER 90114268 not registered Live/Pending |
TELEFLEX LIFE SCIENCES PTE. LTD. 2020-08-14 |