Silicone C.W.V. Reservoir

GUDID 04710961934912

FORTUNE MEDICAL INSTRUMENT CORP.

Closed-wound/centesis drainage receptacle

• Primary Device ID: 04710961934912
• NIH Device Record Key: 0b277f91-5e95-4e07-b3e7-1f7f574a1d5e
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Silicone C.W.V. Reservoir
• Version Model Number: 2013-0940
• Company DUNS: 656763489
• Company Name: FORTUNE MEDICAL INSTRUMENT CORP.
• Device Count: 5
• 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: true
• Expiration Date: true
• 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	04710961934912 [Unit of Use]
GS1	14710961934919 [Primary]

FDA Product Code

• GCY: Apparatus, Suction, Single Patient Use, Portable, Nonpowered

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: 2022-02-08
• Device Publish Date: 2022-01-31

On-Brand Devices [Silicone C.W.V. Reservoir]

• 04710961934837: 2013-0610
• 04710961934912: 2013-0940
• 04710961934905: 2013-0920
• 04710961934899: 2013-0915
• 04710961934882: 2013-0910
• 04710961934868: 2013-0640
• 04710961934851: 2013-0620
• 04710961934844: 2013-0615