GUDID 20199150062243

CUSTOM PACK BB12R66R 20PK ACC 1/4 W/LL

MEDTRONIC, INC.

Cardiopulmonary bypass system blood tubing set

• Primary Device ID: 20199150062243
• NIH Device Record Key: e91ef4f2-f097-42f9-8e6b-1e355830fce7
• Commercial Distribution Status: In Commercial Distribution
• Version Model Number: BB12R66R
• Company DUNS: 006261481
• Company Name: MEDTRONIC, 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: true
• Device Combination Product: false
• Single Use: true
• 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: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com

Operating and Storage Conditions

• Storage Environment Temperature: Between 0 Degrees Celsius and 50 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 50 Degrees Celsius

Device Identifiers

Device Issuing Agency	Device ID
GS1	00199150062232 [Primary]
GS1	20199150062243 [Package]; Contains: 00199150062232; Package: PK [20 Units]; In Commercial Distribution

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K171979

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: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2025-12-08
• Device Publish Date: 2025-11-30

Devices Manufactured by MEDTRONIC, INC.

• 20199150061970 - NA: 2025-12-08 CUSTOM PACK BB12R02R3 5PK ACC STRNG SUC
• 00199150062027 - NA: 2025-12-08 CUSTOM PACK BB12R85R AVL 3/8 ECCPK
• 20199150062229 - NA: 2025-12-08 CUSTOM PACK BB1Q47R3 5PK ACC TABLE
• 20199150062243 - NA: 2025-12-08CUSTOM PACK BB12R66R 20PK ACC 1/4 W/LL
• 20199150062243 - NA: 2025-12-08 CUSTOM PACK BB12R66R 20PK ACC 1/4 W/LL
• 20199150062960 - NA: 2025-12-08 CUSTOM PACK BB9R13R15 4PK CPN PLEG PACK
• 00643169265691 - NA: 2025-12-08 LEAD ACC KIT 6056M GLOBAL 17L NEW ACI
• 00199150060467 - NA: 2025-11-28 CUSTOM PACK BB11Q49R14 EVL 3/8 EC
• 00199150060627 - NA: 2025-11-28 CUSTOM PACK BB12M28R9 HLO QHLM-FROS