Insemi-Form J-IFC-090017

GUDID 10827002189031

Insemi-Form, Catheter

COOK INCORPORATED

Assisted reproduction transfer catheter/set

• Primary Device ID: 10827002189031
• NIH Device Record Key: 79c587cd-aa19-4c69-8fa4-9f1bdb347366
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Insemi-Form
• Version Model Number: G18903
• Catalog Number: J-IFC-090017
• Company DUNS: 042823948
• Company Name: COOK INCORPORATED
• 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: true
• 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

Customer Support Contacts

• Phone: +1(812)330-5494
• Email: sharedservices@cookmedical.com

Operating and Storage Conditions

• Special Storage Condition, Specify: Between 0 and 0 *Store in dark, dry, cool place.

Device Identifiers

Device Issuing Agency	Device ID
GS1	00827002189034 [Primary]
GS1	10827002189031 [Package]; Contains: 00827002189034; Package: [20 Units]; In Commercial Distribution

FDA Product Code

• HDR: CAP, CERVICAL

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 3
• Public Version Date: 2019-01-23
• Device Publish Date: 2016-09-24

Devices Manufactured by COOK INCORPORATED

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• 10827002346939 - Fusion: 2024-08-07 Fusion Omni Preloaded with Acrobat Wire Guide
• 10827002347110 - Fusion: 2024-08-07 Fusion Omni Preloaded with Acrobat Wire Guide
• 10827002347783 - D.A.S.H.: 2024-08-07 D.A.S.H. Preloaded with Acrobat Wire Guide
• 10827002347790 - D.A.S.H.: 2024-08-07 D.A.S.H. Preloaded with Acrobat Wire Guide
• 10827002347806 - D.A.S.H.: 2024-08-07 D.A.S.H. Preloaded with Acrobat Wire Guide
• 00827002216532 - COOK: 2024-05-23 Savary Gilliard Dilator Washer
• 00827002560819 - COOK: 2024-05-23 Captura Serrated Jumbo Forcep - No Spike