BA-1507-13

GUDID 10850005864513

Administration set W/Spike, 150 Micron filter w/Y port, stop Cock, 30ml Syringe, 60" Smal bore tubing. (25 per box)

PATHEN MEDICAL LLC

Intravenous administration tubing extension set

• Primary Device ID: 10850005864513
• NIH Device Record Key: 5f078e60-ef33-47df-b7ab-7da47e295273
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: BA-1507-13
• Version Model Number: BA-1507-13
• Company DUNS: 042928915
• Company Name: PATHEN MEDICAL LLC
• 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: 8773185421
• Email: questions@pathen.com

Device Identifiers

Device Issuing Agency	Device ID
GS1	00850005864516 [Primary]
GS1	10850005864513 [Package]; Contains: 00850005864516; Package: [50 Units]; In Commercial Distribution
GS1	20850005864510 [Package]; Contains: 00850005864516; Package: [25 Units]; In Commercial Distribution

FDA Product Code

• FPA: Set, Administration, Intravascular

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 2
• Public Version Date: 2019-07-24
• Device Publish Date: 2019-07-15

Devices Manufactured by PATHEN MEDICAL LLC

• 20850005864640 - PS-84320: 2019-11-18 20G X 1.88" IV CATHETER PURSAFETY S
• 20850005864619 - PS-843242: 2019-11-13 24GX .56" IV CATHETER PURSAFETY S
• 20850005864626 - PS-84326: 2019-11-13 26GX 56" IV CATHETER PURSAFETY S
• 20850005864633 - PS-843262: 2019-11-13 26GX.75" IV CATHETER PURSAFETY S
• 00850005864561 - BASNWS -30/150: 2019-09-24 Administration Set, NO Spike, 150 Micron Filter, 30cc Syringe
• 10850005864605 - BMS-2135.17S: 2019-09-17 Adminstration Set, Female Luer Lock, 150 Micron Filter w/ Male Luer Lock,
• 10850005864575 - BM-2135.17: 2019-09-13 Adminstration Set, Female Luer Lock, 150 Micron Filter w/ Male Luer Lock
• 10850005864582 - 002231: 2019-09-13 Extension Set, 6" w/ 3-way stopcock