Cleared Special

K191789 - Stonetome Stone Removal Device (FDA 510(k) Clearance)

Jul 2019
Decision
22d
Days
Class 2
Risk

K191789 is an FDA 510(k) clearance for the Stonetome Stone Removal Device. This device is classified as a Dislodger, Stone, Biliary (Class II - Special Controls, product code LQR).

Submitted by Boston Scientific Corporation (Marlboro, US). The FDA issued a Cleared decision on July 25, 2019, 22 days after receiving the submission on July 3, 2019.

This device falls under the Gastroenterology & Urology FDA review panel. Regulated under 21 CFR 876.5010.

Submission Details

510(k) Number K191789 FDA.gov
FDA Decision Cleared Substantially Equivalent - Special 510(k) (SESK)
Date Received July 03, 2019
Decision Date July 25, 2019
Days to Decision 22 days
Submission Type Special
Review Panel Gastroenterology & Urology (GU)
Summary Summary PDF

Device Classification

Product Code LQR — Dislodger, Stone, Biliary
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.5010