Additive Port Cap 21-02

GUDID B21221022

B. Braun Excel Additive Port Cap

INTERNATIONAL MEDICAL INDUSTRIES INC.

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• Primary Device ID: B21221022
• NIH Device Record Key: 4696c59d-fbaa-4e27-a11e-0a1cde4d5ac4
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Additive Port Cap
• Version Model Number: 21-02
• Catalog Number: 21-02
• 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: true
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
HIBCC	B21221020 [Unit of Use]
HIBCC	B21221021 [Primary]
HIBCC	B21221022 [Package]; Contains: B21221021; 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