Extension Set

GUDID 20876604001446

10” Standard Bore Extension Set w/0.22 Micron Filter

Health Line International Corporation

Intravenous administration set

• Primary Device ID: 20876604001446
• NIH Device Record Key: 6a2d3106-0758-4b3f-9439-066c77ebfbea
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Extension Set
• Version Model Number: HLEF84722
• Company DUNS: 806251398
• Company Name: Health Line International Corporation
• 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: true
• Expiration Date: true
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: true
• RX Perscription: true
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
GS1	00876604001442 [Primary]
GS1	10876604001449 [Package]; Contains: 00876604001442; Package: Inner Pack [50 Units]; In Commercial Distribution
GS1	20876604001446 [Package]; Contains: 10876604001449; Package: Case [16 Units]; In Commercial Distribution

FDA Product Code

• FPA: Set, Administration, Intravascular

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: 2019-12-11
• Device Publish Date: 2017-03-15

On-Brand Devices [Extension Set]

• 20876604001705: Standard Bore Extension Set
• 20876604001446: 10” Standard Bore Extension Set w/0.22 Micron Filter