Can a US Distributor act as a 510(k) holder for a foreign manufacturer? The foreign manufacturer does not want to be the 510(k) holder and plans to designate the US Distributor to also be their US Agent. A license agreement will be in place that will clearly define the roles and responsibilities. In the 510(k), the US Distributor would be listed as the US Agent. The foreign manufacturer will be identified as the contract manufacturer, and labeling will reflect "Distributed by or Manufactured for." All parties involved will follow FDA establishment and product listing requirements, where applicable. Would the FDA have any issues with this approach?