FDA UDI
In Commercial Distribution
🇺🇸 United States
LAVA Mixing Kit, 2 mL
DI: 00850055697041
·
Model: SLLESMK2
·
Blackswan Vascular, Inc.
Product Codes
1
GMDN Terms
1
Identifiers
1
Pkg Device Count
1
Basic Information
- Brand Name
- LAVA Mixing Kit, 2 mL
- Primary DI
- 00850055697041
- Version / Model
- SLLESMK2
- Company Name
- Blackswan Vascular, Inc.
- Labeler DUNS
- 111242823
- Distribution Status
- In Commercial Distribution
- Device Count in Pkg
- 1
- Record Status
- Published
- Publish Date
- 2023-10-23
- Public Version
- 3
- Public Version Date
- 2024-02-19
- Public Version Status
- Update
- Public Device Record Key
- 49866688-1a1d-4834-91cf-ce2e8f5e4343
Device Description
LAVA Mixing Kit, 2 mL (to homogenize the liquid embolic suspension)
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
- MR Conditional
- Direct Marking Exempt
- No
- PM Exempt
- No
- Has Serial Number
- No
- Has Lot/Batch Number
- Yes
- Has Manufacturing Date
- No
- Has Expiration Date
- Yes
- Has Donation ID
- No
Sterilization
- Is Sterile
- Yes
- Sterilization Prior Use
- No
Product Codes
| Code | Name | Medical Specialty | Regulation # | Device Class |
|---|---|---|---|---|
| QVG | Embolization Agent, Vascular | Unknown | 3 |
GMDN Terms
| Code | Name | Definition | Implantable | Status |
|---|---|---|---|---|
| 67002 | Non-neurovascular embolization plug, synthetic polymer | A non-bioabsorbable device intended to be implanted in a peripheral (non-neurovascular) artery for permanent/long-term occlusion of blood flow to treat haemorrhage. It is in the form of an injectable synthetic polymer solution [e.g., dissolved ethylene vinyl alcohol (EVOH)] that solidifies in situ to form a coherent embolus requiring no thrombosis to create blockage; radiopaque metal (e.g., tantalum) powder may be included to assist fluoroscopic visualization. It is typically supplied with instruments dedicated to implantation. This device is not intended to be used in intracranial arteries or for other neurovascular applications. | Yes | Active |
Identifiers
| Type | ID | Issuing Agency | Package Type | Qty per Pkg | Pkg Status | Pkg Discontinue Date |
|---|---|---|---|---|---|---|
| Primary | 00850055697041 | GS1 |
Customer Contacts
- Phone
- 1-888-474-7839
- [email protected]
Premarket Submissions
| Submission Number | Supplement Number |
|---|---|
| P220020 | 000 |