MEDI-SIS SYRINGE INFUSION SYSTEM


Device Classification Name

pump, infusion, enteral

510(k) Number K111381
Device Name MEDI-SIS SYRINGE INFUSION SYSTEM
Applicant
ACACIA, INC.
785 challenger street
brea, 
CA 
92821

Applicant Contact fergie ferguson
Correspondent
ACACIA, INC.
785 challenger street
brea, 
CA 
92821

Correspodent Contact fergie ferguson
Regulation Number 880.5725
Classification Product Code
LZH  
Date Received 05/17/2011
Decision Date 01/13/2012
Decision

substantially equivalent

(SESE)

Regulation Medical Specialty

General Hospital

510k Review Panel

General Hospital

summary

summary

Type Traditional
Reviewed by Third Party No

Combination Product

No