AccessGUDID - DEVICE: PerformaTrak (00606959009462)

GUDID

Device Identifier (DI) Information

Brand Name: PerformaTrak
Version or Model: PerformaTrak SE Mask w 4 PT Headgear, SU, Medium, CN
Commercial Distribution Status: Not in Commercial Distribution
Catalog Number: CN1012640
Company Name: Respironics, Inc.

Primary DI Number: 00606959009462
Issuing Agency: GS1
Commercial Distribution End Date: February 01, 2021
Device Count: 1
Labeler D-U-N-S® Number*: 080728314 *Terms of Use

Device Description: PerformaTrak Mask with Standard Elbow and 4 Point Headgear, Single Use, Medium, China

Device Characteristics

What MRI safety information does the labeling contain?	Labeling does not contain MRI Safety Information
Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801.437):	No
Device labeled as "Not made with natural rubber latex":	Yes
For Single-Use:	Yes
Prescription Use (Rx):	Yes
Over the Counter (OTC):	No
Kit:	No
Combination Product:	No
Human Cell, Tissue or Cellular or Tissue-Based Product (HCT/P):	No

GMDN

[?]

GMDN Term Code	GMDN Term Name	GMDN Term Definition	GMDN Term Status [?]	Implantable?
57813	CPAP/BPAP face mask, single-use	A non-sterile, flexible, form-shaped device designed to be placed over a user's nose and mouth to interface with a continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BPAP) unit to provide the respiratory tract with direct ambient air, or medical oxygen (O2) and air, at a higher pressure than ambient air for noninvasive positive pressure ventilation (NPPV). It is typically made of plastic/silicone materials that create an airtight seal around the nose and mouth. It is available in various designs and sizes and stabilized with a headstrap. This is a single-patient device that may be reapplied to the patient over a short term (single-use) before being discarded.	Active	false

FDA Product Code

[?]

Product Code	Product Code Name
CBK	VENTILATOR, CONTINUOUS, FACILITY USE

FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
K023135	000

Device Exempt from Premarket Submission: No CLOSE

Sterilization

Device Packaged as Sterile: No
Requires Sterilization Prior to Use: No

Sterilization Method [?]
No Sterilization Methods Found

Storage and Handling

[?]

Storage and Handling
Storage Environment Humidity: between 15 and 95 Percent (%) Relative Humidity
Storage Environment Temperature: between -20 and 60 Degrees Celsius

Clinically Relevant Size

[?]

Size Type Text
No Device Sizes

Device Record Status

Public Device Record Key: a995d36f-d9e2-4dfa-9565-0f8b81c9f5b4
Public Version Date: February 01, 2021
Public Version Number: 5
DI Record Publish Date: February 12, 2016