DEVICE: E.M Adams co, inc. (18100013402361)

Device Identifier (DI) Information

E.M Adams co, inc.
14-3497-1
Not in Commercial Distribution

E.M. ADAMS, INC.
18100013402361
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?
63658 Surgical soft-tissue manipulation forceps, alligator, single-use
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 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/ALLIGATOR FORCEPS
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Device Record Status

e56d11b4-3474-4cec-93dd-338804762bab
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
38100013402372 20 18100013402361 2021-02-28 Not in Commercial Distribution BX
58100013402352 100 18100013402361 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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