Hemostatic Device For Endoscopic Gastrointestinal Use

Device Code: 5906

Product Code(s): QAU

Definition: Hemostatic Device For Intraluminal Gastrointestinal Use. A Hemostatic Device For Intraluminal Gastrointestinal Use Is A Prescription Device That Is Endoscopically Applied To The Upper And/or Lower Gastrointestinal Tract And Is Intended To Produce Hem

Device Classification Information

Device Type ID5906
Device NameHemostatic Device For Endoscopic Gastrointestinal Use
Physical StateHygroscopic Hemostatic Agent And Delivery Device.
Technical MethodProposed Hemostatic Mechanism Of Action Is Absorption Of Fluid.
Target AreaGI
Regulation Medical SpecialtyGeneral & Plastic Surgery
Review PanelGeneral & Plastic Surgery
Premarket Review Office Of Device Evaluation (ODE)
Division Of Surgical Devices (DSD)
Plastic And Reconstructive Surgery Devices Branch One - Implants And Tools (PRSB1)
Submission Type510(k)
CFR Regulation Number878.4456 [🔎]
FDA Device ClassificationClass 2 Medical Device
Product CodeQAU
GMP ExemptNo
Summary MRIneligible
Implanted DeviceYes
Life Support DeviceNo
Third Party Review Not Third Party Eligible

Recognized Standards

Total Product Life Cycle

Device Type ID5906
DeviceHemostatic Device For Endoscopic Gastrointestinal Use
Product CodeQAU
FDA Device ClassificationClass 2 Medical Device
CFR Regulation Number878.4456 [🔎]
Device Problems
Failure To Fire
42
Complete Blockage
17
Positioning Failure
16
Obstruction Of Flow
12
Improper Or Incorrect Procedure Or Method
10
Use Of Device Problem
8
Gas Leak
5
Device Operates Differently Than Expected
3
Adverse Event Without Identified Device Or Use Problem
3
Deformation Due To Compressive Stress
1
Fracture
1
Human-Device Interface Problem
1
Patient Device Interaction Problem
1
Partial Blockage
1
Total Device Problems 121
TPLC Last Update: 2019-04-02 21:14:15

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