Perfusion Adapter

GUDID 10803622124430

LIVANOVA USA, INC.

Cardioplegia solution administration adaptor

• Primary Device ID: 10803622124430
• NIH Device Record Key: c68b5bc1-167e-408a-8106-5d703f8ebb1e
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Perfusion Adapter
• Version Model Number: CA-xxxxx
• Company DUNS: 080914995
• Company Name: LIVANOVA USA, INC.
• 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: true
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
GS1	00803622124433 [Primary]
GS1	10803622124430 [Package]; Contains: 00803622124433; Package: CASE [5 Units]; In Commercial Distribution

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K972503

FDA Product Code

• DWF: CATHETER, CANNULA AND TUBING, VASCULAR, CARDIOPULMONARY BYPASS

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: 2018-08-15
• Device Publish Date: 2015-04-23

On-Brand Devices [Perfusion Adapter]

• 10803622124430: CA-xxxxx
• 10803622124423: CA-xxxxx