Catalog Number

-

Brand Name

RITE AID PHARMACY

Version/Model Number

011822210119

Device Commercial Distribution Status

In Commercial Distribution

Commercial Distribution End Date

-

Issuing Agency

In GS1

MRI safety Status

Labeling does not contain MRI Safety Information

Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801.437)

Yes

Device labeled as "Not made with natural rubber latex"

-

For Single-Use

Yes

Prescription Use (Rx)

-

Over the Counter (OTC)

Yes

Kit

-

Combination Product

-

Human Cell, Tissue or Cellular or Tissue-Based Product (HCT/P)

-

FDA Premarket Submission

-

Product Code

NAB

Product Code Name

Gauze / Sponge,Nonresorbable For External Use

Public Device Record Key

77060e05-b7ea-4245-a5e9-762752d04d0d

Public Version Date

November 29, 2021

Public Version Number

1

DI Record Publish Date

November 19, 2021

Package DI Number

20011822210113

Quantity per Package

12

Contains DI Package

00011822210119

Package Discontinue Date

-

Package Status

In Commercial Distribution

Package Type

INNER