MedSource Tourniquet Not Applicable

GUDID 00840155412385

Sam XT Extremity Tourniquet Blue

MEDSOURCE INTERNATIONAL LLC

Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Arm/leg tourniquet, single-use Limb tourniquet, manual, single-use Limb tourniquet, manual, single-use Limb tourniquet, manual, single-use Limb tourniquet, manual, single-use Limb tourniquet, manual, single-use Limb tourniquet, manual, single-use Limb tourniquet, manual, single-use

• Primary Device ID: 00840155412385
• NIH Device Record Key: c5b7edae-a9f7-4ca2-823e-75cc75caa126
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: MedSource Tourniquet
• Version Model Number: MS-SAMXT-B
• 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: false
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: true
• RX Perscription: false
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
GS1	00840155412385 [Primary]

FDA Product Code

• GAX: Tourniquet, Nonpneumatic

Sterilization

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

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2022-02-15
• Device Publish Date: 2022-02-07

On-Brand Devices [MedSource Tourniquet]

• 00840155408005: Tourniquet- Sub.
• 00840155407992: Tourniquet 1"x18" Latex Free Blue
• 00816703025444: Substitute rolled tourniquets
• 00816703025420: Tourniquet 1"x18" LF Blue Rolled
• 00816703025406: Rolled Tourniquet w/Band & Logo
• 00816703025383: 1"x18" Light Blue Rolled Tourniquet
• 00816703025369: Tourniquet .75"x12" LF Rolled and Perf
• 00816703025345: Tourniquet 1.5" x32" LF Rolled and Perf
• 00816703025321: Tourniquet 1"x18" Rolled and Perf
• 00816703025314: Non-latex band for tourniquets
• 00816703025291: Tourniquet
• 00816703025246: MS-17301-SM
• 00840155406087: Tactical Tourniquet, Metal Handle
• 00840155406070: Tactical Tourniquet, Plastic Handle
• 00840155412309: Sam Extremity Tourniquet, Black
• 00840155412408: Sam XT Extremity Tourniquet Orange
• 00840155412385: Sam XT Extremity Tourniquet Blue
• 00816703025376: 1"x18" Light Blue Rolled Tourniquet