| Primary Device ID | 40876604000658 |
| NIH Device Record Key | 8ec4fb55-3002-47e3-8283-00c555c01478 |
| Commercial Distribution Status | In Commercial Distribution |
| Brand Name | IV Administration Set |
| Version Model Number | HLSV205077MB |
| 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 Issuing Agency | Device ID |
|---|---|
| GS1 | 00876604000650 [Primary] |
| GS1 | 10876604000657 [Package] Contains: 00876604000650 Package: Inner Pack [50 Units] In Commercial Distribution |
| GS1 | 40876604000658 [Package] Contains: 10876604000657 Package: Case [4 Units] In Commercial Distribution |
| FPA | Set, Administration, Intravascular |
| Steralize Prior To Use | false |
| Device Is Sterile | true |
| Public Version Status | Update |
| Device Record Status | Published |
| Public Version Number | 3 |
| Public Version Date | 2019-12-11 |
| Device Publish Date | 2017-03-15 |
| 20876604001712 | IV Administration Set w/Flow Control and Back Check Valve |
| 20876604001682 | IV Administration Set |
| 20876604001675 | IV Administration Set w/Flow Control |
| 20876604001651 | IV Administration Set w/Back Check Valve and Y-Port Swabable Valve |
| 20876604001606 | IV Administration Set w/3 Valve Injection Sites |
| 20876604001460 | IV Administration Set w/0.22 Micron Filter and Back Check Valve |
| 20876604001422 | IV Administration Set w/0.22 Micron Filter |
| 20876604000661 | IV Administration Set |
| 40876604000658 | IV Administration Set w/Valve Injection Site |
| 20876604000579 | IV Administration Set |
| 00876604000469 | IV Administration Set (Secondary) |
| 20876604000425 | IV Administration Set w/ Back Check Valve |
| 20876604000371 | IV Administration Set |