AccessGUDID - DEVICE: Puritan Bennett (20884521127101)

GUDID

Device Identifier (DI) Information

Brand Name: Puritan Bennett
Version or Model: 4-002536-00
Commercial Distribution Status: Not in Commercial Distribution
Catalog Number: 4-002536-00
Company Name: Covidien LP

Primary DI Number: 20884521127101
Issuing Agency: GS1
Commercial Distribution End Date: February 23, 2021
Device Count: 1
Labeler D-U-N-S® Number*: 058614483 *Terms of Use

Device Description: Mask with Harness,Small

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:	No
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?
37591	CPAP/BPAP nasal mask, single-use	A non-sterile, flexible, form-shaped device designed to be placed over a user's nose to interface with a continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BPAP) unit to provide the respiratory tract with direct ambient air, or medical oxygen (O2) and air, at a higher pressure than ambient air for noninvasive positive pressure ventilation (NPPV). It is typically made of plastic and/or silicone materials that create an airtight seal around the nose. It is available in various designs and sizes and stabilized with a headstrap. This is a single-patient device that may be reapplied to the patient over a short term (single-use) before being discarded.	Active	false

FDA Product Code

[?]

Product Code	Product Code Name
BYG	MASK, OXYGEN

FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
K890193	000

Device Exempt from Premarket Submission: No CLOSE

Sterilization

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

Sterilization Method [?]
No Sterilization Methods Found

Storage and Handling

[?]

Storage and Handling
No storage/handling found

Clinically Relevant Size

[?]

Size Type Text
No Device Sizes

Device Record Status

Public Device Record Key: 3ad6296b-a245-4a02-83da-9eb352a0fe5d
Public Version Date: June 24, 2025
Public Version Number: 5
DI Record Publish Date: March 06, 2019