The following data is part of a premarket notification filed by Deroyal Industries, Inc. with the FDA for Qualtex Skin Staple Extractor.
| Device ID | K911204 |
| 510k Number | K911204 |
| Device Name: | QUALTEX SKIN STAPLE EXTRACTOR |
| Classification | Staple, Removable (skin) |
| Applicant | DEROYAL INDUSTRIES, INC. 200 DEBUSK LN. Powell, TN 37849 |
| Contact | Debusk Lane |
| Correspondent | Debusk Lane DEROYAL INDUSTRIES, INC. 200 DEBUSK LN. Powell, TN 37849 |
| Product Code | GDT |
| CFR Regulation Number | 878.4760 [🔎] |
| Decision | Substantially Equivalent (SESE) |
| Type | Traditional |
| 3rd Party Reviewed | No |
| Combination Product | No |
| Date Received | 1991-03-19 |
| Decision Date | 1991-05-08 |