DEVICE: BE 122-24 Flexible Support Arm (M996BE122240)

Device Identifier (DI) Information

BE 122-24 Flexible Support Arm
BE 122-24
In Commercial Distribution
BE 122-24
INSTRUMENTATION INDUSTRIES, INCORPORATED
M996BE122240
HIBCC

1
053146767 *Terms of Use
BE 122-24 Flexible Support Arm - 24" - (With extension, reaches 38" total length) - Use to support ventilator tubing; Rotates up to 360° and can be locked in place. Adapts to most ventilators by using Flexible Support Arm Brackets. Ventilator tubing is held in place with Flexible Support Arm Tubing Clamps mounted to the Flexible Support Arm. All are manufactured in the USA by Instrumentation Industries, Inc.
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Device Characteristics

Labeling does not contain MRI Safety Information
No
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
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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

a24f26e6-1e08-47a2-8cad-38b31cb621a5
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
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None
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Production Identifier(s) in UDI

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Yes
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No CLOSE

Customer Contact

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412-854-1133
raqa@iiimedical.com
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