TRIFURCATED EXTENSION SET

GUDID 10810080610207

MPS Pharma & Medical, Inc.

Intravenous administration tubing extension set

• Primary Device ID: 10810080610207
• NIH Device Record Key: 7f074c06-6abd-472a-a4b2-aa52bfafb2f1
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: TRIFURCATED EXTENSION SET
• Version Model Number: BTF-HM-3
• Company DUNS: 117970217
• Company Name: MPS Pharma & Medical, 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: true
• RX Perscription: true
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
GS1	00810080610200 [Primary]
GS1	10810080610207 [Package]; Contains: 00810080610200; Package: Case [50 Units]; In Commercial Distribution

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K090809

FDA Product Code

• FPA: Set, Administration, Intravascular

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: 2022-09-01
• Device Publish Date: 2022-08-24

Devices Manufactured by MPS Pharma & Medical, Inc.

• 10810080611761 - DROPPER BOTTLE TIP SYSTEM: 2024-09-27 TE 15MM DROPPER BOTTLE TIP - WHITE
• 10810080611778 - DROPPER BOTTLE CAP SYSTEM: 2024-09-27 TE BOTTLE SYSTEM TE CAP RED
• 10810080611785 - DROPPER BOTTLE CAP SYSTEM: 2024-09-27 TE BOTTLE SYSTEM TE CAP PURPLE
• 10810080611792 - DROPPER BOTTLE CAP SYSTEM: 2024-09-27 TE BOTTLE SYSTEM TE CAP GREEN
• 10810080611808 - DROPPER BOTTLE CAP SYSTEM: 2024-09-27 TE BOTTLE SYSTEM TE CAP BLUE
• 10810080611815 - DROPPER BOTTLE SYSTEM: 2024-09-27 TE 15ML BS DROPPER BOTTLE, NATURAL
• 10810080611822 - DROPPER BOTTLE SYSTEM: 2024-09-27 TE 15ML BS DROPPER BOTTLE, WHITE
• 10810080612027 - SAFEDATE™: 2024-09-27 SAFEDATE™ 1mL Single Use Strip