AccessGUDID - DEVICE: EVOL®SI Joint Fusion System (00841193122991)

GUDID

Device Identifier (DI) Information

Brand Name: EVOL®SI Joint Fusion System
Version or Model: 5006-WT
Commercial Distribution Status: In Commercial Distribution
Catalog Number: 5006-WT
Company Name: Cutting Edge Spine, LLC

Primary DI Number: 00841193122991
Issuing Agency: GS1
Commercial Distribution End Date:
Device Count: 1
Labeler D-U-N-S® Number*: 069472647 *Terms of Use

Device Description: EVOL®SI, 11.5mm Washer

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":	No
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?
61485	Sacroiliac joint transarticular fixation/arthrodesis implant, uncoated	An implantable device designed to be inserted across the sacroiliac joint to provide temporary stabilization and to encourage long-term joint fusion, typically to alleviate pain from the joint. It is made of uncoated metal [e.g., titanium (Ti)], and typically in the form of a cylinder which may be threaded and/or fenestrated. It is typically surgically implanted under fluoroscopic guidance and may include dedicated disposable implantation instruments.	Active	true

FDA Product Code

[?]

Product Code	Product Code Name
OUR	Sacroiliac joint fixation

FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
K190025	000

Device Exempt from Premarket Submission: No CLOSE

Sterilization

Device Packaged as Sterile: Yes
Requires Sterilization Prior to Use: Yes

Sterilization Method [?]
Radiation Sterilization

Storage and Handling

[?]

Storage and Handling
Special Storage Condition, Specify: Store at room temperature

Clinically Relevant Size

[?]

Size Type Text
No Device Sizes

Device Record Status

Public Device Record Key: 596e15d8-b237-4603-8761-e57b68404440
Public Version Date: November 28, 2022
Public Version Number: 2
DI Record Publish Date: November 24, 2019