GUDID 20885074499653

CUSTOM PACK 1N15R3 2PK 4-1 CARD PK

MEDTRONIC, INC.

Cardiopulmonary bypass system tubing set

• Primary Device ID: 20885074499653
• NIH Device Record Key: 5105ea4c-507f-496d-a0a6-5fa9b61620e7
• Commercial Distribution Discontinuation: 2019-10-21
• Commercial Distribution Status: Not in Commercial Distribution
• Version Model Number: 1N15R3
• 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
• 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
• 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	00885074499659 [Primary]
GS1	20885074499653 [Package]; Contains: 00885074499659; Package: PK [2 Units]; Discontinued: 2019-10-21; Not in Commercial Distribution

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: 2019-10-24
• Device Publish Date: 2016-05-22

Devices Manufactured by MEDTRONIC, INC.

• 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
• 00763000988760 - NA: 2024-12-20 CUSTOM PACK BB1F66R26 CASPER
• 00763000973391 - Sphere-9™ Catheter: 2024-12-16 CATHETER AFR-00001 SPHERE 9 Q-US AFR
• 00763000986704 - NA: 2024-12-09 CUSTOM PACK BB7J97R20 1/4 PED CIRC
• 00763000986773 - NA: 2024-12-09 CUSTOM PACK BB11N26R12 MASTER PACK
• 20763000986814 - NA: 2024-12-09 CUSTOM PACK BB12G70R3 10PK SUPPLIES