MedSource Burn Sheet Not Applicable

GUDID 00816703023563

Burn Sheet

MEDSOURCE INTERNATIONAL LLC

Cotton burn sheet

• Primary Device ID: 00816703023563
• NIH Device Record Key: 72f5c21e-c26a-4f40-ae87-3cb4f54f7863
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: MedSource Burn Sheet
• Version Model Number: NORTH-201969
• Catalog Number: Not Applicable
• Company DUNS: 041674552
• Company Name: MEDSOURCE INTERNATIONAL LLC
• Device Count: 1
• DM Exempt: false
• Pre-market Exempt: true
• MRI Safety Status: Labeling does not contain MRI Safety Information
• Human Cell/Tissue Product: false
• Device Kit: false
• Device Combination Product: false
• Single Use: true
• Lot Batch: true
• Serial Number: false
• Manufacturing Date: false
• Expiration Date: true
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: false
• RX Perscription: false
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
GS1	00816703023556 [Primary]
GS1	00816703023563 [Package]; Contains: 00816703023556; Package: Case [50 Units]; In Commercial Distribution

FDA Product Code

• NAB: Gauze / Sponge,Nonresorbable For External Use

Sterilization

• Steralize Prior To Use: false
• Device Is Sterile: true

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2021-08-25
• Device Publish Date: 2021-08-17

On-Brand Devices [MedSource Burn Sheet]

• 00840155400719: Burn Sheet
• 00840155400696: Burn Sheet
• 00816703023563: Burn Sheet