Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
K921103Substantially Equivalent

Retraction Instrument

Origin Medsystems, Inc., San Carlos CA / Traditional, Substantially Equivalent

K921103 is the FDA 510(k) clearance record for RETRACTION INSTRUMENT, a class II device, cleared for Origin Medsystems, Inc. on under FDA product code GCJ (Laparoscope, General & Plastic Surgery). FDA's definition for product code GCJ reads: "Validated reprocessing instructions and reprocessing validation data for this device type must be included in a 510(k) submission if the device is reusable and has specific design features (please refer to Table 2 of 82 FR 26807, available...". FDA records list 50 510(k) clearances for Origin Medsystems, Inc., from to . As of , FDA records show no recalls naming K921103.

Clearance record

Decision date
Received
(549 days to decision)
Product code
GCJ Laparoscope, General & Plastic Surgery
Regulation
21 CFR 876.1500
Device class
Class II
Review panel
Gastroenterology, Urology
Applicant
Origin Medsystems, Inc. 1021 Howard Ave., San Carlos CA
510(k) summary
Statement
Third party review
No

Clearances, product code GCJ

Trailing 12 months
27 clearances under product code GCJ in the twelve months to October 2026, February 2026 the highest month at 4.
Show the numbers
Monthly 510(k) clearances under FDA product code GCJ, trailing twelve months
MonthClearances
November 20252
December 20250
January 20263
February 20264
March 20260
April 20263
May 20264
June 20264
July 20263
August 20262
September 20262
October 20260