SourceMark

Basic Information

• Brand Name: SourceMark
• Primary DI: 00813799006135
• Version / Model: M1032
• Company Name: SOURCEMARK, LLC.
• Labeler DUNS: 121225812
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2020-07-09
• Public Version: 1
• Public Version Date: 2020-07-17
• Public Version Status: New
• Public Device Record Key: f2a03bad-eb08-4a60-bb11-8e0c5c419b28

Device Characteristics

• Single Use: Yes
• Prescription Use (Rx): No
• 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: Yes
• Has Serial Number: Yes
• Has Lot/Batch Number: No
• Has Manufacturing Date: No
• Has Expiration Date: Yes
• Has Donation ID: Yes

Sterilization

• Is Sterile: Yes
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
BTQ	Airway, Nasopharyngeal	Anesthesiology	868.5100	1

GMDN Terms

Code	Name	Definition	Implantable	Status
42422	Nasopharyngeal airway, single-use	A rubber or plastic tube that extends into the pharynx from either naris to maintain airway patency. The proximal end of the device may have an integral 22 mm connector for oxygen delivery. This is a single-use device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Package	10813799006149	GS1	Box	10	In Commercial Distribution
Primary	00813799006135	GS1
Package	20813799006153	GS1	Case	10	In Commercial Distribution