The following data is part of a premarket notification filed by I.z.i. Medical Products Corp. with the FDA for Shadowform.
| Device ID | K964972 |
| 510k Number | K964972 |
| Device Name: | SHADOWFORM |
| Classification | System, Simulation, Radiation Therapy |
| Applicant | I.Z.I. MEDICAL PRODUCTS CORP. 10 STREAM COURT Owings Mills, MD 21117 |
| Contact | E.j. Smith |
| Correspondent | E.j. Smith I.Z.I. MEDICAL PRODUCTS CORP. 10 STREAM COURT Owings Mills, MD 21117 |
| Product Code | KPQ |
| CFR Regulation Number | 892.5840 [🔎] |
| Decision | Substantially Equivalent (SESE) |
| Type | Traditional |
| 3rd Party Reviewed | No |
| Combination Product | No |
| Date Received | 1996-12-12 |
| Decision Date | 1997-05-05 |
| Device Identifier | submissionNumber | Supplement |
|---|---|---|
| 00815212022074 | K964972 | 000 |
| 00815212022067 | K964972 | 000 |
| 00815212022050 | K964972 | 000 |
| 00815212021749 | K964972 | 000 |
| 00815212021732 | K964972 | 000 |
| 00815212021725 | K964972 | 000 |
| 00815212021718 | K964972 | 000 |
| 00815212021701 | K964972 | 000 |
| 00815212021695 | K964972 | 000 |
Mark Image Registration | Serial | Company Trademark Application Date |
|---|---|
![]() SHADOWFORM 75700785 2324569 Live/Registered |
IZI MEDICAL PRODUCTS, LLC 1999-05-07 |
![]() SHADOWFORM 72301022 0866715 Dead/Expired |
AMERICAN METAL CLIMAX, INC. 1968-06-21 |