AccessGUDID - DEVICE: Integra® Proximal Humeral Fracture Plate System (10381780121077)

GUDID

Device Identifier (DI) Information

Brand Name: Integra® Proximal Humeral Fracture Plate System
Version or Model: PSS3540CS
Commercial Distribution Status: In Commercial Distribution
Catalog Number: PSS3540CS
Company Name: Ascension Orthopedics, Inc.

Primary DI Number: 10381780121077
Issuing Agency: GS1
Commercial Distribution End Date: December 31, 2026
Device Count: 1
Labeler D-U-N-S® Number*: 942377524 *Terms of Use

Device Description: The non-locking compression screw is made from stainless steel and is used in conjunction with the Integra Proximal Humeral Fracture Plate System.

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?
62467	Surgical soft-tissue manipulation forceps, alligator, reusable	A long, thin, hand-held manual surgical instrument designed to facilitate grasping and manipulation of soft-tissues/anatomical structures [typically during ear/nose/throat (ENT) surgery]; it is not intended for insertion through an endoscope, nor into the eye, and is not a dedicated biopsy device. Commonly referred to as alligator- or crocodile-forceps, it has a slender body (to allow for restricted access) and small grasping blades which are hinged close to the distal (working) end. It is a metallic device available in various sizes/lengths; some types may include an integrated suction channel. This is a reusable device intended to be sterilized prior to use.	Active	false

FDA Product Code

[?]

Product Code	Product Code Name
HRS	PLATE, FIXATION, BONE

FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
K121826	000

Device Exempt from Premarket Submission: No CLOSE

Sterilization

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

Sterilization Method [?]
Moist Heat or Steam Sterilization

Storage and Handling

[?]

Storage and Handling
No storage/handling found

Clinically Relevant Size

[?]

Size Type Text
Device Size Text, specify: 1.675 in L x .138 in dia

Device Record Status

Public Device Record Key: 2ca2ec00-0d4f-4582-9d12-420203decb7b
Public Version Date: February 23, 2023
Public Version Number: 5
DI Record Publish Date: October 09, 2017