GUDID 20643169443369

CUSTOM PACK SSHY8D42R1 4PK HCADELN

MEDTRONIC, INC.

Cardiopulmonary bypass system tubing set

• Primary Device ID: 20643169443369
• NIH Device Record Key: ff5c69c1-67bb-48c3-bbcf-ec0d5e80fab8
• Commercial Distribution Discontinuation: 2018-10-24
• Commercial Distribution Status: Not in Commercial Distribution
• Version Model Number: SSHY8D42R1
• Company DUNS: 006261481
• Company Name: MEDTRONIC, INC.
• Device Count: 4
• 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
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• 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 40 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 40 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 40 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 40 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 40 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 40 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 40 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 40 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 40 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 40 Degrees Celsius

Device Identifiers

Device Issuing Agency	Device ID
GS1	00643169443365 [Unit of Use]
GS1	20643169443369 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K800178

FDA Product Code

• DWE: TUBING, PUMP, CARDIOPULMONARY BYPASS

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 4
• Public Version Date: 2018-12-11
• Device Publish Date: 2016-04-07

Devices Manufactured by MEDTRONIC, INC.

• 00763000763152 - NA: 2025-10-07 SW APP P7A2C11 ALTAVIVA CLINICIAN
• 00763000763817 - NA: 2025-10-07 SW APP P7A2P11 ALTAVIVA PATIENT
• 00763000929367 - Altaviva™: 2025-10-07 KIT P7K2C001 ALTAVIVA CLINICIAN
• 00763000935627 - Altaviva™: 2025-10-07 KIT P7K2P001 ALTAVIVA PATIENTA^
• 00763000936433 - Altaviva™: 2025-10-07 INS P7850N ALTAVIVA NEUROSTIMULATOR RC
• 00763000936440 - NA: 2025-10-07 ACCESSORY P71001 POCKET DISSECTOR
• 00199150050161 - NA: 2025-09-29 CUSTOM PACK HLO BB12D44R4 PUMP PK
• 00199150050178 - NA: 2025-09-29 CUSTOM PACK BB4W67R26 EVL ADULT E