DEVICE: Mallinckrodt (20884521105574)

Device Identifier (DI) Information

Mallinckrodt
5-18541
Not in Commercial Distribution

Covidien LP
20884521105574
GS1
November 10, 2025
1
058614483 *Terms of Use
Esophageal Tracheal Airway with X-Ray Line Double Lumen. Manufactured under license of Frass and Frenzer.
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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?
42420 Oesophageal-obturating/tracheal airway, single-use
A two-lumen, semiflexible, single-use tube inserted blindly through the mouth into the oesophagus or trachea to maintain airway patency while obturating the oesophagus, typically during emergencies to facilitate breathing/resuscitation. The oesophageal-obturating lumen has a blocked distal end and perforations at the pharyngeal level. A large oropharyngeal balloon seals mouth and nose; a distal cuff seals either the oesophagus or the trachea. Ventilation starts via the oesophageal tube, if the tube is in the oesophagus air enters the pharynx via the perforations; when the tube is in the trachea the ventilation is performed directly through the tracheal tube. This is a single-use device.
Active false
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FDA Product Code

[?]
Product Code Product Code Name
CAO AIRWAY, ESOPHAGEAL (OBTURATOR)
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FDA Premarket Submission

FDA Premarket Submission Number [?] Supplement Number [?]
K875226 000
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Sterilization

No
No
Sterilization Method [?]
No Sterilization Methods Found
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Storage and Handling

[?]
Storage and Handling
Storage Environment Temperature: between 32 and 90 Degrees Fahrenheit
Special Storage Condition, Specify: Do not expose to UV
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Clinically Relevant Size

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Size Type Text
Catheter Gauge: 41 French
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Device Record Status

5541bd16-2882-4c44-bf07-0d57ba27e9fe
November 13, 2025
11
August 28, 2015
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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
10884521105577 4 20884521105574 2025-11-10 Not in Commercial Distribution CASE
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Secondary DI

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Issuing Agency [?] Secondary DI Number
No Secondary DIs found
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Unit of Use DI

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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(508)261-8000
covidien.udi@covidien.com
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