GUDID 20763000989242

CUSTOM PACK BB12M13R1 5PK EP BRIDGE

MEDTRONIC, INC.

Cardiopulmonary bypass system blood tubing set

• Primary Device ID: 20763000989242
• NIH Device Record Key: 358a0361-e767-422f-afc5-9a4aefbb0ab3
• Commercial Distribution Status: In Commercial Distribution
• Version Model Number: BB12M13R1
• 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
• 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 50 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 50 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 50 Degrees Celsius
• Storage Environment Temperature: Between 0 Degrees Celsius and 50 Degrees Celsius
• 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	00763000989231 [Primary]
GS1	20763000989242 [Package]; Contains: 00763000989231; Package: PK [5 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: 2024-12-23
• Device Publish Date: 2024-12-15

Devices Manufactured by MEDTRONIC, INC.

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• 00763000709051 - DiamondTemp™ Irrigation Pump: 2024-12-23 IRRIGATION PUMP CEDTP100 US
• 00763000989156 - NA: 2024-12-23 CUSTOM PACK BB11C49R9 1/4 PACK
• 00763000989163 - NA: 2024-12-23 CUSTOM PACK BB12M25R1 TAPER BOOT
• 20763000989242 - NA: 2024-12-23CUSTOM PACK BB12M13R1 5PK EP BRIDGE
• 20763000989242 - NA: 2024-12-23 CUSTOM PACK BB12M13R1 5PK EP BRIDGE
• 00763000893910 - SHERPA NX BALANCED™: 2024-12-20 CATHETER SB6FL40SH SB 6F 100CM FL40
• 00763000893941 - SHERPA NX BALANCED™: 2024-12-20 CATHETER SB6FR40SH SB 6F 100CM FR40
• 00763000988258 - NA: 2024-12-20 CUSTOM PACK BB10Q85R1 FILTER