NiA

GUDID 20643169919765

SHEATH 3805-012 PEELAWAY INTRO D12 5PK

MEDTRONIC PS MEDICAL, INC.

Wire/ligature passer, reusable

• Primary Device ID: 20643169919765
• NIH Device Record Key: 981553a1-7128-4b45-82c0-d3cedb6c3cff
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: NiA
• Version Model Number: 3805-012
• Company DUNS: 089055867
• Company Name: MEDTRONIC PS MEDICAL, 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: false
• 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: true
• 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
• 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

Device Identifiers

Device Issuing Agency	Device ID
GS1	00643169919761 [Primary]
GS1	20643169919765 [Package]; Contains: 00643169919761; Package: PK [5 Units]; In Commercial Distribution

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K990333

FDA Product Code

• GWG: Endoscope, neurological

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: 2018-07-24
• Device Publish Date: 2018-04-20

Devices Manufactured by MEDTRONIC PS MEDICAL, INC.

• 00763000333461 - Exacta™: 2024-12-23 EDMS 27579 EXACTA W/ PATIENT LINE Y-PORT
• 00763000333478 - Exacta™: 2024-12-23 KIT 27581 EXACTA W/EDM VCATH 35CM
• 00763000333492 - Exacta™: 2024-12-23 EDM 27636 EXACTA W/BRAIDED CORD LOCK
• 00763000333508 - Exacta™: 2024-12-23 BAG 27654 EXACTA W/DRAINPORT GLUED ON
• 00763000333515 - Exacta™: 2024-12-23 EDM 27666 EXCTA W GLUE STPCK GR PT LN
• 00763000333560 - Exacta™: 2024-12-23 EDM 27732 EXACTA W/NDL-LS INJ. ST W/CAP
• 00763000333607 - Exacta™: 2024-12-23 EDMS 27785 EXACTA 50ML BC NDLESS INJ
• 00763000333614 - Exacta™: 2024-12-23 EDMS 27795 EXACTA 100ML CATH