Identity
- Trade Name
- Periscope Dissector FDA UDI
- Generic Name
- Intraluminal artery stripper, single-use FDA UDI
- Device Name
- Periscope Dissector FDA UDI
- Model / Reference
- 4200-00 FDA UDI
- Description
- Periscope Dissector FDA UDI
Identifiers
- Catalog Number
- 4200-00 FDA UDI
- Primary DI / UDI-DI
- 00840663102563 FDA UDI
- 510(k) Number
- K003719 FDA UDI
- FDA Product Code
- DWX FDA UDI
- GMDN Term
- Intraluminal artery stripper, single-use FDA UDI
Classification
- Device Class
- Class II FDA UDI
- Regulation Number
- 870.4875 FDA UDI
- Commercial Distribution
- In Commercial Distribution FDA UDI
Clinical & Handling
Sterile
Yes
FDA UDI
Single Use
Yes
FDA UDI
Implantable
No
FDA UDI
Contains Latex
No
FDA UDI
Prescription Use
Yes
FDA UDI
Over-the-Counter
No
FDA UDI
Convenience Kit
No
FDA UDI
Combination Product
No
FDA UDI
HCT/P
No
FDA UDI
Premarket Exempt
No
FDA UDI
Lot / Batch Number
Yes
FDA UDI
Serial Number
No
FDA UDI
Expiration Date
Yes
FDA UDI
Manufacturing Date
No
FDA UDI
Category: Intraluminal artery stripper, single-use
Periscope Dissector by LeMaitre Vascular, Inc. — Class II — FDA UDI — listed in FDA GUDID — regulatory data on deviCERTS
Similar devices
Also classified as Intraluminal artery stripper, single-use.
- Martin Dissector — LeMaitre Vascular, Inc. · Class II
- EndoHelix Retrieval Device — LeMaitre Vascular, Inc. · Class II
Cleared under the same submission
K003719 also covers:
Authorization Coverage (1 country)
Regulatory Authorizations
United States Pending data
FDA UDI
| Source | Region | Type | Cert / Approval No. | Class | Status |
|---|---|---|---|---|---|
| FDA UDI | United States | FDA UDI | Registered in GUDID | Class II | Pending data |
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Manufacturer
- Manufacturer
- LeMaitre Vascular, Inc.
Sources (1)
- FDA UDI 014872a6-4b13-4789-a882-ab47ff99913d 36 fields · synced Jun 9, 2026