Catalog Number

1252-1012-080

Brand Name

12 x 80mm Anodized SI Implant

Version/Model Number

1252-1012-080

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)

-

Device labeled as "Not made with natural rubber latex"

-

For Single-Use

Yes

Prescription Use (Rx)

Yes

Over the Counter (OTC)

-

Kit

-

Combination Product

-

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

-

FDA Premarket Submission

K161755

Product Code

OUR

Product Code Name

Sacroiliac Joint Fixation

Public Device Record Key

f510b678-3a0b-4519-a7f9-6557b2636bbd

Public Version Date

March 03, 2022

Public Version Number

2

DI Record Publish Date

February 17, 2022

Package DI Number

None

Quantity per Package

-

Contains DI Package

-

Package Discontinue Date

-

Package Status

-

Package Type

-