DEVICE: BodyGuard® set with Female Luer (B101A120003XSN0)

Device Identifier (DI) Information

BodyGuard® set with Female Luer
A120-003XSN
Not in Commercial Distribution

CME AMERICA LLC
B101A120003XSN0
HIBCC
November 04, 2019
1
002125419 *Terms of Use
83 in. (210 cm) For Use with the BodyGuard® Infusion Pump
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Device Characteristics

Labeling does not contain MRI Safety Information
No
Yes
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?
35833 Electric infusion pump administration set, single-use
A collection of sterile devices (e.g., plastic tubing, check valve, roller clamp, Y-site connector, Luer, needle/catheter) intended to be used in combination with an electrically-powered infusion pump for the intravenous (IV), subcutaneous, intramuscular, or epidural administration of medication. This is a single-use device.
Active false
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FDA Product Code

[?]
Product Code Product Code Name
FPA Set, Administration, Intravascular
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FDA Premarket Submission

FDA Premarket Submission Number [?] Supplement Number [?]
K042696 000
No CLOSE

Sterilization

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

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

[?]
Size Type Text
No Device Sizes
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Device Record Status

be9e1735-65f1-4d52-be6c-ccc73bbe290b
July 09, 2020
4
August 30, 2016
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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
B101A120003XSN1 20 B101A120003XSN0 2019-11-04 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

[?]
303-936-4945
xx@xx.xx
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