DEVICE: E.M Adams co, inc. (18100013402217)

Device Identifier (DI) Information

E.M Adams co, inc.
14-3392-1
Not in Commercial Distribution

E.M. ADAMS, INC.
18100013402217
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?
62490 Dressing/utility forceps, scissors-like, single-use
A hand-held manual instrument designed primarily for non-dedicated grasping of devices, sponges and/or dressings during a procedure; it is not intended for endoscopic use. It has a scissors-like hinged design with ring handles and blades (non-cutting) that may be available in a range of sizes or designs. It may be intended for use at a specific anatomy. 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/TUBE OCCLUDING FORCEPS
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Device Record Status

36f227ac-a87d-4bdb-90a6-19fdd80b9af5
June 02, 2023
4
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
38100013402228 20 18100013402217 2021-02-28 Not in Commercial Distribution BX
58100013402208 100 18100013402217 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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