Additive Port Cap 21-01B

GUDID B2122101B2

Tamper Evident Additive Port Cap for IV Bags - Fresenius Kabi, Non-Sterile

INTERNATIONAL MEDICAL INDUSTRIES INC.

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• Primary Device ID: B2122101B2
• NIH Device Record Key: 581c404e-7ff8-4e1b-9268-ebf5e036421b
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Additive Port Cap
• Version Model Number: 21-01B
• Catalog Number: 21-01B
• Company DUNS: 053469565
• Company Name: INTERNATIONAL MEDICAL INDUSTRIES INC.
• Device Count: 50
• DM Exempt: false
• Pre-market Exempt: false
• MRI Safety Status: Labeling does not contain MRI Safety Information
• Human Cell/Tissue Product: false
• Device Kit: false
• 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: false
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
HIBCC	B2122101B0 [Unit of Use]
HIBCC	B2122101B1 [Primary]
HIBCC	B2122101B2 [Package]; Contains: B2122101B1; Package: Box [6 Units]; In Commercial Distribution

FDA Product Code

• KPE: Container, I.V.

Sterilization

• Steralize Prior To Use: false
• Device Is Sterile: false

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2023-07-20
• Device Publish Date: 2023-07-12

On-Brand Devices [Additive Port Cap]

• B21221002: "For use on the medication port of Baxter VIAFLEX, Baxter INTRAVIA, Baxter AVIVA, and Baxter ALL
• B2122100B1000: "For use on the medication port of Baxter VIAFLEX, Baxter INTRAVIA, Baxter AVIVA, and Baxter ALL
• B2122100B2: "For use on the medication port of Baxter VIAFLEX, Baxter INTRAVIA, Baxter AVIVA, and Baxter ALL
• B21221001000: "For use on the medication port of Baxter VIAFLEX, Baxter INTRAVIA, Baxter AVIVA, and Baxter ALL
• B21221021002: B. Braun Excel Additive Port Cap
• B21221022: B. Braun Excel Additive Port Cap
• B2122101B1002: 21-01B 100
• B2122101B2: Tamper Evident Additive Port Cap for IV Bags - Fresenius Kabi, Non-Sterile
• B21221012: Tamper Evident Additive Port Cap for IV Bags - B. Braun PAB/E3, Non-Sterile
• B21221011000: 100 Unit configuration of Additive Port Cap for B. Braun IV Bags