DEVICE: RTC 22-D Metered Dose Inhaler Adapter (M996RTC22D0)

Device Identifier (DI) Information

RTC 22-D Metered Dose Inhaler Adapter
RTC 22-D
In Commercial Distribution
RTC 22-D
INSTRUMENTATION INDUSTRIES, INCORPORATED
M996RTC22D0
HIBCC

1
053146767 *Terms of Use
The Instrumentation Industries, Inc. RTC 22-D is an actuator for intermittent delivery of prescribed aerosol medication dispensed in metered dose inhalers. The RTC 22-D Adapter is intended for use only when connected to ventilator tubing or tracheal tubes. For use with metered dose inhaler canisters with standard size metal or plastic stems. The RTC 22-D Adapter is intended for Single Patient Reuse. This device is intended for sale by or on the order of a physician.
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Device Characteristics

Labeling does not contain MRI Safety Information
No
Yes
Yes
Yes
No
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GMDN

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GMDN© Term Code, Names and Definitions (*Terms of Use): GMDN® is a registered trademark of The GMDN Agency. All rights reserved. Used under licence from The GMDN Agency Ltd.

GMDN Term Code GMDN Term Name GMDN Term Definition GMDN Term Status [?] Implantable?
35122 Metered dose inhaler
A hand-held device designed to administer a pre-measured dose of aerosolized medication directly into the mouth of a patient. It typically consists of a shaped plastic holder with integrated mouthpiece into which a pressurized metal canister containing the solution or suspension of medicine is placed. Commonly known as a metered dose inhaler (MDI), aerosol inhaler or puffer, it is a portable device typically carried in the pocket or a handbag (purse) of the patient for convenient access. A medicine chamber spacer may be attached to this device to facilitate its use by small children (enables the slow inhalation of the medicine). This is a reusable device intended for single-patient use.
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FDA Product Code

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Product Code Product Code Name
CAF Nebulizer (Direct Patient Interface)
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FDA Premarket Submission

FDA Premarket Submission Number [?] Supplement Number [?]
K991355 000
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Sterilization

No
Yes
Sterilization Method [?]
High-level Disinfectant
Hydrogen Peroxide
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Storage and Handling

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Storage and Handling
No storage/handling found
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Clinically Relevant Size

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Size Type Text
No Device Sizes
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Device Record Status

87b64436-673e-4644-9698-db92b41295a8
July 06, 2018
3
August 08, 2016
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Alternative and Additional Identifiers Additional Identifiers

Package DI

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Package DI Number Quantity per Package Contains DI Package Package Discontinue Date Package Status Package Type
M996RTC22D5 50 M996RTC22D0 In Commercial Distribution Ziplock Bag
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Secondary DI

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Issuing Agency [?] Secondary DI Number
No Secondary DIs found
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Unit of Use DI

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Unit of Use DI Number: No Unit of Use DI Numbers Found CLOSE

Direct Marking (DM)

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No
No
None
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Production Identifier(s) in UDI

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Yes
No
No
No
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Customer Contact

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412-854-1133
raqa@iiimedical.com
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