AccessGUDID - DEVICE: Mini ONE® Balloon Button (00842071119720)

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Device Identifier (DI) Information

Brand Name: Mini ONE® Balloon Button
Version or Model: M1-5-1255-I
Commercial Distribution Status: In Commercial Distribution
Catalog Number: M1-5-1255-I
Company Name: APPLIED MEDICAL TECHNOLOGY, INC.

Primary DI Number: 00842071119720
Issuing Agency: GS1
Commercial Distribution End Date:
Device Count: 1
Labeler D-U-N-S® Number*: 038101861 *Terms of Use

Device Description: 12FR x 5.5 cm Mini ONE® Balloon Button (Boxed Kit - I) Low Profile Feeding Device

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Device Characteristics

What MRI safety information does the labeling contain?	MR Conditional
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:	Yes
Combination Product:	No
Human Cell, Tissue or Cellular or Tissue-Based Product (HCT/P):	No

GMDN

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?
38565	Gastrostomy button	A sterile, short, hollow tube that is inserted into the stomach percutaneously to permit long-term enteral feeding. The tube does not permit reflux and its external end is flush with abdominal skin. This is a single-use device.	Active	true
11677	Enteral feeding kit, adult/paediatric, sterile	A collection of sterile devices that includes tubing and other materials intended to administer nutrient liquids directly into the stomach, duodenum, or jejunum of an adult or paediatric (excludes infants) patient by means of gravity or an enteral pump. This is a single-use device.	Obsolete	false
36044	Enteral feeding kit, infant	A collection of sterile devices that includes tubing and other materials intended to administer nutrient liquids directly into the stomach, duodenum, or jejunum of an infant patient by means of gravity or an enteral pump. This is a single-use device.	Obsolete	false

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FDA Product Code

Product Code	Product Code Name
KNT	Tubes, Gastrointestinal (And Accessories)

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FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
K945618	000

Device Exempt from Premarket Submission: No CLOSE

Sterilization

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

Sterilization Method [?]
No Sterilization Methods Found

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Storage and Handling

Storage and Handling
No storage/handling found

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Clinically Relevant Size

Size Type Text
Length: 5.5 Centimeter
Catheter Gauge: 12 French

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Device Record Status

Public Device Record Key: 59a89b28-0dac-4865-97c6-a8717797b0dd
Public Version Date: October 07, 2019
Public Version Number: 3
DI Record Publish Date: September 06, 2019

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Alternative and Additional Identifiers Additional Identifiers

Package DI

Package DI Number	Quantity per Package	Contains DI Package	Package Discontinue Date	Package Status	Package Type
No Package DIs found

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Secondary DI

Issuing Agency [?]	Secondary DI Number
No Secondary DIs found

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Unit of Use DI

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

Direct Marking (DM)

Device Subject to Direct Marking (DM), but Excepted: No
DM DI Different from Primary DI: No
DM DI Number: None
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Production Identifier(s) in UDI

Lot or Batch Number: Yes
Serial Number: No
Expiration Date: Yes
Manufacturing Date: No
Donation Identification Number: No CLOSE

Customer Contact

Phone: (440)717-4000
Email: cs@appliedmedical.net

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