GUDID 20763000999494

CUSTOM PACK BB8Q15R1 10PK 1/2 VENOUS

MEDTRONIC, INC.

Cardiopulmonary bypass system blood tubing set

• Primary Device ID: 20763000999494
• NIH Device Record Key: 73255cf7-f487-48ec-a556-42f8d9e2819e
• Commercial Distribution Status: In Commercial Distribution
• Version Model Number: BB8Q15R1
• 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	00763000999483 [Primary]
GS1	20763000999494 [Package]; Contains: 00763000999483; Package: PK [10 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: 2025-03-04
• Device Publish Date: 2025-02-24

Devices Manufactured by MEDTRONIC, INC.

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• 20763000999463 - NA: 2025-03-04 CUSTOM PACK BB2T40R3 2PK TABLE LINE
• 00763000999476 - NA: 2025-03-04 CUSTOM PACK BB12G75R2 WM ACC
• 20763000999494 - NA: 2025-03-04CUSTOM PACK BB8Q15R1 10PK 1/2 VENOUS
• 20763000999494 - NA: 2025-03-04 CUSTOM PACK BB8Q15R1 10PK 1/2 VENOUS
• 00763000999506 - NA: 2025-03-04 CUSTOM PACK BB10R64R13 CAMC PERF
• 00763000582890 - Avalus™ 7400S: 2025-03-03 SIZERS 7400S AVALUS CEM GLOBAL
• 00763000582906 - Valve Handle 7420: 2025-03-03 HANDLE 7420 VLV HNDLE 234MM CEM GLOBAL