Clear Choice Adapter

GUDID 10812345022176

ECG Adapter

MORTARA INSTRUMENT, INC.

Electrocardiographic electrode connector

• Primary Device ID: 10812345022176
• NIH Device Record Key: 5efeb430-26be-4fb3-8fe1-bef574588467
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Clear Choice Adapter
• Version Model Number: 9325-003-50
• Company DUNS: 062046149
• Company Name: MORTARA INSTRUMENT, INC.
• Device Count: 10
• 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: false
• Lot Batch: true
• Serial Number: false
• Manufacturing Date: false
• 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: 888-667-8272
• Email: techsupport@mortara.com

Operating and Storage Conditions

• Storage Environment Temperature: Between 0 Degrees Fahrenheit and 158 Degrees Fahrenheit

Device Identifiers

Device Issuing Agency	Device ID
GS1	00812345022179 [Unit of Use]
GS1	10812345022176 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K080605

FDA Product Code

• DSA: Cable, Transducer And Electrode, Patient, (Including Connector)

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 4
• Public Version Date: 2020-06-29
• Device Publish Date: 2016-09-24

Devices Manufactured by MORTARA INSTRUMENT, INC.

• 21081234502471 - Quik-Prep: 2020-07-20 Electrodes
• 10812345022176 - Clear Choice Adapter: 2020-06-29ECG Adapter
• 10812345022176 - Clear Choice Adapter: 2020-06-29 ECG Adapter
• 10812345023050 - Snap Adapter: 2020-06-29 ECG Adapter
• 20812345024238 - Quick-Trace Multi-purpose ECG electrodes: 2020-06-29 Electrodes
• 30812345024686 - CardioSens/Ultra II: 2020-06-29 Electrodes
• 30812345024723 - Resting Tab Type Electrodes: 2020-06-29 Electrodes
• 20812345024733 - ECG Monitoring Electrodes: 2020-06-29 Electrodes
• 21081234502474 - Quik-Prep: 2020-06-29 Electrodes