Catalog Number

SAMPC0523

Brand Name

Medline Industries, Inc.

Version/Model Number

SAMPC0523

Device Commercial Distribution Status

Not in Commercial Distribution

Commercial Distribution End Date

July 21, 2021

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

-

Product Code

DTL

Product Code Name

Adaptor, stopcock, manifold, fitting, cardiopulmonary bypass

Public Device Record Key

145664f0-b326-40cd-9d4a-3407e553043e

Public Version Date

June 17, 2022

Public Version Number

4

DI Record Publish Date

January 27, 2019

Package DI Number

None

Quantity per Package

-

Contains DI Package

-

Package Discontinue Date

-

Package Status

-

Package Type

-