Patient Controlled Intravenous Analgesia Device (PCI) PCIIVRE5

GUDID 09350902000273

GO MEDICAL INDUSTRIES PTY. LTD.

Ambulatory non-insulin infusion pump, mechanical, single-use Ambulatory non-insulin infusion pump, mechanical, single-use Ambulatory non-insulin infusion pump, mechanical, single-use Ambulatory non-insulin infusion pump, mechanical, single-use Ambulatory non-insulin infusion pump, mechanical, single-use

• Primary Device ID: 09350902000273
• NIH Device Record Key: aa86b48b-ead4-4a71-bdcd-900206ae60b7
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Patient Controlled Intravenous Analgesia Device (PCI)
• Version Model Number: PCI
• Catalog Number: PCIIVRE5
• Company DUNS: 757634266
• Company Name: GO MEDICAL INDUSTRIES PTY. LTD.
• Device Count: 1
• DM Exempt: false
• 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: 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	09350902000259 [Primary]
GS1	09350902000266 [Package]; Contains: 09350902000259; Package: Carton [10 Units]; In Commercial Distribution
GS1	09350902000273 [Package]; Contains: 09350902000259; Package: Shipping carton [60 Units]; In Commercial Distribution

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K972158

FDA Product Code

• MEB: Pump, Infusion, Elastomeric

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 4
• Public Version Date: 2022-06-17
• Device Publish Date: 2017-05-18

On-Brand Devices [Patient Controlled Intravenous Analgesia Device (PCI)]

• 09350902000303: PCI Tamper Evident
• 09350902000273: PCI