DEVICE: E.M Adams co, inc. (18100013401630)

Device Identifier (DI) Information

E.M Adams co, inc.
14-3337-1
Not in Commercial Distribution

E.M. ADAMS, INC.
18100013401630
GS1
February 28, 2021
1
001403807 *Terms of Use
SINGLE INSTRUMENT
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Device Characteristics

Labeling does not contain MRI Safety Information
Yes
No
Yes
Yes
No
No
No
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?
62479 Surgical soft-tissue manipulation forceps, tweezers-like, single-use
A hand-held, manual, open-surgery instrument designed to facilitate grasping and manipulation of soft-tissues. It has a tweezers-like design (may be a micro/fine instrument) with variously designed tips at the working end, whereby the blades are designed to be opened/closed by squeezing between the fingers (i.e., without ring handles). It is available in various sizes, and may have carbide inserts at the working end. It is not an electrosurgical device and not dedicated to ophthalmic surgery. This is a single-use device.
Active false
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FDA Product Code

[?]
Product Code Product Code Name
FSM Tray, Surgical, Instrument
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FDA Premarket Submission

FDA Premarket Submission Number [?] Supplement Number [?]
K812133 000
No CLOSE

Sterilization

Yes
Yes
Sterilization Method [?]
Ethylene Oxide
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Storage and Handling

[?]
Storage and Handling
No storage/handling found
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Clinically Relevant Size

[?]
Size Type Text
Device Size Text, specify: 5" X 9" POUCH/ADSON FORCEPS, SERRATED
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Device Record Status

ab6619a5-f38b-4dc5-8d61-03f7beca0bb4
March 01, 2021
3
December 31, 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
38100013401641 20 18100013401630 2021-02-28 Not in Commercial Distribution BX
58100013401621 100 18100013401630 2021-02-28 Not in Commercial Distribution Case
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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)

[?]
No
No
None
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Production Identifier(s) in UDI

[?]
Yes
No
Yes
No
No CLOSE

Customer Contact

[?]
+1(772)461-0532
EMADAMS@EMADAMSCO.COM
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