The following data is part of a premarket notification filed by Lake Medical Products, Inc. with the FDA for Lake Irrigation Tray.
| Device ID | K873991 | 
| 510k Number | K873991 | 
| Device Name: | LAKE IRRIGATION TRAY | 
| Classification | Needle, Hypodermic, Single Lumen | 
| Applicant | LAKE MEDICAL PRODUCTS, INC. 11866 ADIE RD. Maryland Heights, MO 63043 | 
| Contact | Eli Schachet | 
| Correspondent | Eli Schachet LAKE MEDICAL PRODUCTS, INC. 11866 ADIE RD. Maryland Heights, MO 63043 | 
| Product Code | FMI | 
| CFR Regulation Number | 880.5570 [🔎] | 
| Decision | Substantially Equivalent (SESE) | 
| Type | Traditional | 
| 3rd Party Reviewed | No | 
| Combination Product | No | 
| Date Received | 1987-10-01 | 
| Decision Date | 1987-12-30 |