FDA.reportPublic FDA data

Polyp Pak

Primary DI
00724995182540
Brand
Polyp Pak
Company
US Endoscopy
Model
00711091
Catalog number
00711091
Device description
The Polyp Pak includes 1 Rotator snare - oval and 1 Roth Net retriever - polyp. The Rotator snare is an electrosurgical device used to grasp, dissect and transect tissue during gastrointestinal endoscopic procedures, and used with diathermic energy. The Roth Net retriever is used in the endoscopic retrieval of foreign body, food bolus and excised tissue such as polyps.
Published
2020-03-19
Public version status
Update
Distribution status
In Commercial Distribution
MRI safety
Labeling does not contain MRI Safety Information
Rx
true
OTC
false
Sterile
false
Single use
true

Contact Domains#

Product Codes#

Code, Name table
CodeName
PRVGastro-urology biopsy kit

Product Code Classifications#

Code, Device, Specialty table
CodeDeviceSpecialtyClass
PRVGastro-Urology Biopsy KitGastroenterology, Urology2

Identifiers And Packaging#

Identifier, Type, Agency table
IdentifierTypeAgencyPackage quantityStatus
10724995182547PackageGS15In Commercial Distribution
00816765010952PreviousGS10
00724995182540PrimaryGS10

Alternate GTIN / UPC / EAN Codes

Source identifier, GTIN-14 normalized, UPC-A table
Source identifierGTIN-14 normalizedUPC-AEAN-13
1072499518254710724995182547
00816765010952008167650109528167650109520816765010952
00724995182540007249951825407249951825400724995182540

GMDN Terms#

Term, Definition table
TermDefinition
Endoscopic electrosurgical handpiece/electrode, monopolar, single-useAn electrosurgical device consisting of a handpiece with mechanical and/or electrical controls, and a monopolar electrode, intended to deliver a current from a system generator directly to tissues for cutting/coagulation/ablation during endoscopic (including laparoscopic, arthroscopic) surgery. It includes a long thin electrode connected to the handpiece and requires a patient contact return electrode; it may include a suction/irrigation lumen and may feature a magnetic guidance sensor for electromagnetic tracking. It is available in a variety of forms (e.g., forceps or snare with ring handles, rigid probe) and may also be designed to mechanically cut tissues. This is a single-use device.

Storage And Handling#

Type, Low, High table
TypeLowHighCondition
Special Storage Condition, Specify00Keep Dry

Contacts#

Phone, Email table
PhoneEmail
+1(800)548-4873xx@xx.xx

Regulatory Flags#

DUNS number
627879687
Device count
1
DM exempt
false
Premarket exempt
false
HCT/P
false
Kit
false
Combination product
false
Lot or batch
true
Serial number
false
Manufacturing date on label
false
Expiration date on label
true
Donation ID number
false
Contains natural rubber latex
false
No natural rubber latex
false
Sterilization required before use
false

Other Devices From This Company#

Primary DI, Brand, Model table
Primary DIBrandModelCatalogPublished
10724995184015Endo-Boot00711621007116212020-04-01
10724995184022Endo-Boot00711622007116222020-04-01
00724995190637ProArmor00711623007116232020-07-16
00724995190644ProArmor00711624007116242020-07-16
00724995180355NA3905133905132020-04-02
00724995180362CO2MPACT7103007103002020-04-02
00724995180386NA7103047103042020-04-02
00724995180409NA7104247104242020-04-02
00724995180416NA7104257104252020-04-02
00724995180423NA7104267104262020-04-02
00724995180430NA7106027106022020-04-02
00724995180447NA7106037106032020-04-02
00724995180454NA7106047106042020-04-02
00724995180522Torrent00711579007115792020-04-01
00724995180768UltramatrixUSBOLUSBOL2020-04-02
00724995180775UltramatrixUSBORUSBOR2020-04-02
00724995180782iSnare00711084007110842020-03-19
00724995180843Articulator00711804007118042020-04-01
00724995182472Short Throw00711018007110182020-03-19
00724995182489Short Throw00711019007110192020-03-19

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Primary DI, Brand, Company table
Primary DIBrandCompanyProduct codePublished
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00849233013575Busse Hospital DisposablesROBERT BUSSE & CO., INC.PRV2025-06-23
10849233013572Busse Hospital DisposablesROBERT BUSSE & CO., INC.PRV2025-06-23
10885380202605Aero-MedAERO-MED, LLCPRV2024-05-10
10885380195365Aero-MedAERO-MED, LLCPRV2023-04-20
10885380194733Aero-MedAERO-MED, LLCPRV2023-02-24
00849233002012Busse Hospital DisposablesROBERT BUSSE & CO., INC.PRV2020-11-23
00849233013827Busse Hospital DisposablesROBERT BUSSE & CO., INC.PRV2020-11-23
10849233002019Busse Hospital DisposablesROBERT BUSSE & CO., INC.PRV2020-11-23
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00849233015401Busse Hospital DisposablesROBERT BUSSE & CO., INC.PRV2020-04-08
00724995182885HistolockUS EndoscopyPRV2020-04-02
00724995182892HistolockUS EndoscopyPRV2020-04-02
10724995182882HistolockUS EndoscopyPRV2020-04-02
10724995182899HistolockUS EndoscopyPRV2020-04-02
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00849233013841Busse Hospital DisposablesROBERT BUSSE & CO., INC.PRV2016-09-02