Catalog Number

-

Brand Name

Fortis

Version/Model Number

504

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"

Yes

For Single-Use

Yes

Prescription Use (Rx)

-

Over the Counter (OTC)

-

Kit

-

Combination Product

-

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

-

FDA Premarket Submission

-

Product Code

LZA

Product Code Name

Polymer Patient Examination Glove

Public Device Record Key

fa1984c2-8d37-47f1-8699-0b4dd616085e

Public Version Date

September 13, 2022

Public Version Number

2

DI Record Publish Date

September 01, 2022

Package DI Number

20810007660053

Quantity per Package

10

Contains DI Package

10810007660056

Package Discontinue Date

-

Package Status

In Commercial Distribution

Package Type

Case