Video Adapter

GUDID 04953170023910

AR-TF08E ADAPTER OTV-S5 BEAMSPLlITTER .8

OLYMPUS MEDICAL SYSTEMS CORP.

Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor Endoscope camera adaptor

• Primary Device ID: 04953170023910
• NIH Device Record Key: 77e366aa-6b69-4d11-8ebe-5dabd0a2b62e
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Video Adapter
• Version Model Number: OLYMPUS AR-TF08E
• Company DUNS: 711789789
• Company Name: OLYMPUS MEDICAL SYSTEMS CORP.
• Device Count: 1
• DM Exempt: true
• Pre-market Exempt: false
• MRI Safety Status: Labeling does not contain MRI Safety Information
• Human Cell/Tissue Product: false
• Device Kit: false
• Device Combination Product: false
• Single Use: false
• Lot Batch: true
• Serial Number: false
• Manufacturing Date: true
• Expiration Date: false
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: false
• RX Perscription: true
• OTC Over-The-Counter: false

Customer Support Contacts

• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx
• Phone: +1(800)401-1086
• Email: xx@xx.xx

Device Identifiers

Device Issuing Agency	Device ID
GS1	04953170023910 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K955404
• Premarket Notification: K971416

FDA Product Code

• FET: Endoscopic Video Imaging System/Component, Gastroenterology-Urology
• GCJ: Laparoscope, general & plastic surgery

Sterilization

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

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

[04953170023910]

High-level Disinfectant;Ethylene Oxide

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 5
• Public Version Date: 2018-10-08
• Device Publish Date: 2016-09-21

On-Brand Devices [Video Adapter]

• 04953170023910: AR-TF08E ADAPTER OTV-S5 BEAMSPLlITTER .8
• 04953170023828: AR-T12Q SINGLE PIECE Q ADAPTER 1.2X
• 04953170024054: AR-TZ2