Catalog Number

-

Brand Name

Axiom® Hacienda Sump® Atraum™ With ClotStop®

Version/Model Number

111166AT

Device Commercial Distribution Status

In Commercial Distribution

Commercial Distribution End Date

-

Issuing Agency

In HIBCC

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

K883887,K883887,K883887

Product Code

GBS

Product Code Name

Catheter, Ventricular, General & Plastic Surgery

Public Device Record Key

131ece0c-8f9b-434e-bcd9-31be29f2caa3

Public Version Date

October 24, 2018

Public Version Number

1

DI Record Publish Date

September 23, 2018

Package DI Number

M665111166AT3

Quantity per Package

10

Contains DI Package

M665111166AT1

Package Discontinue Date

-

Package Status

In Commercial Distribution

Package Type

Case