N/A

Basic Information

• Brand Name: N/A
• Primary DI: 00763000029630
• Version / Model: 23067
• Company Name: MEDTRONIC PS MEDICAL, INC.
• Labeler DUNS: 089055867
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2020-03-08
• Public Version: 1
• Public Version Date: 2020-03-16
• Public Version Status: New
• Public Device Record Key: 6aa42333-c9f1-48ce-a3b2-fb45d46a5a48

Device Description

ADAPTER 23067 PREIMPLANT TEST SNAP ASSY

Device Characteristics

• Single Use: Yes
• Prescription Use (Rx): Yes
• Over the Counter (OTC): No
• Kit: No
• Combination Product: No
• HCT/P: No
• Contains NRL: No
• Not Made with NRL: No
• MRI Safety: Labeling does not contain MRI Safety Information
• Direct Marking Exempt: No
• PM Exempt: No
• Has Serial Number: No
• Has Lot/Batch Number: Yes
• Has Manufacturing Date: No
• Has Expiration Date: No
• Has Donation ID: No

Sterilization

• Is Sterile: Yes
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
LKG	Port & catheter, implanted, subcutaneous, intraventricular	Neurology	882.5550	2

GMDN Terms

Code	Name	Definition	Implantable	Status
61120	Cerebrospinal fluid shunt adaptor	A sterile device intended to enable connection of a cerebrospinal fluid (CSF) shunt or shunt component (e.g., cerebrospinal fluid catheter) to a syringe during shunt patency checking; it is not intended to be implanted. It is typically a small plastic device or device assembly, and may include additional supportive/connecting devices (e.g., blunt needle). This is a single-use device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	00763000029630	GS1

Customer Contacts

• Phone: [phone]
• Email: [email protected]

Premarket Submissions

Submission Number	Supplement Number
K874498	000