DEVICE: BE 114-5 Flexible Support Arm Universal Rail Mount Bracket (M996BE11450)

Device Identifier (DI) Information

BE 114-5 Flexible Support Arm Universal Rail Mount Bracket
BE 114-5
In Commercial Distribution
BE 114-5
INSTRUMENTATION INDUSTRIES, INCORPORATED
M996BE11450
HIBCC

1
053146767 *Terms of Use
The BE 114-5 Flexible Support Arm Universal Rail Mount Bracket permits rail mounting of "Flexible Support Arms". The BE 114-5 is not compatible with rails mounted flush to wall. Components and materials: bracket body: anodized aluminum; screw: steel with phenolic knob. Made in the USA.
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Device Characteristics

Labeling does not contain MRI Safety Information
No
Yes
No
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Yes
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GMDN

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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?
37041 Breathing circuit tube holder
A device designed primarily to hold the breathing circuit tubing that carries gases from a ventilator and/or anaesthesia system to and from the patient. It is typically fixed to the ventilator/anaesthesia system, but can also be fixed to the patient's bed or medical device service rails (e.g., a wall rail). It is made of metal and plastic materials with adjustable jointed sections. This is a reusable device.
Active false
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FDA Product Code

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Product Code Product Code Name
JAY Support, Breathing Tube
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FDA Premarket Submission

FDA Premarket Submission Number [?] Supplement Number [?]
Premarket Submission Number Not Available/Not Released
Yes CLOSE

Sterilization

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

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Storage and Handling
No storage/handling found
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Clinically Relevant Size

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Size Type Text
No Device Sizes
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Device Record Status

e7b685b0-2075-47c2-8ce6-d01ea40bc93b
March 29, 2018
2
March 31, 2017
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Alternative and Additional Identifiers Additional Identifiers

Package DI

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Package DI Number Quantity per Package Contains DI Package Package Discontinue Date Package Status Package Type
No Package DIs found
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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)

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No
No
None
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Production Identifier(s) in UDI

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Yes
No
No
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No CLOSE

Customer Contact

[?]
412-854-1133
raqa@iiimedical.com
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