TubeClear

Basic Information

• Brand Name: TubeClear
• Primary DI: 00850458007614
• Version / Model: TC-0812
• Company Name: ACTUATED MEDICAL, INC.
• Labeler DUNS: 791379030
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2017-03-02
• Public Version: 3
• Public Version Date: 2018-07-06
• Public Version Status: Update
• Public Device Record Key: 78cde2a9-5d79-474b-b2fa-9f942ef0dce3

Device Description

Clearing Stem

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: Yes
• 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: Yes
• Has Expiration Date: Yes
• Has Donation ID: No

Sterilization

• Is Sterile: No
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
KNT	Tubes, Gastrointestinal (And Accessories)	Gastroenterology, Urology	876.5980	2

GMDN Terms

Code	Name	Definition	Implantable	Status
58974	Enteral feeding/decompression tube clearing stem	A non-sterile, sheath-covered device intended to be used to mechanically clear a clog in an in situ nasogastric, nasoenteral, gastrostomy and/or jejunostomy tube, used for feeding and/or decompression, to maintain luminal patency. It consists of a sheath and a stem clog disrupter (e.g., a wire or rod) designed to be magnetically coupled with a motorized actuator which facilitates the forward and backward movement of the disrupter inside the sheath. It typically has a collar to restrict the inserted length, and a diameter, appropriate for the installed feeding/decompression tube. This is a single-use device.	No	Active
58973	Enteral feeding/decompression tube clearing actuator	A mains electricity (AC-powered) device intended to be used to mechanically clear a clog in an in situ nasogastric, nasoenteral, gastrostomy and/or jejunostomy tube, used for feeding and/or decompression, to maintain luminal patency. It is a reusable motorized unit that is magnetically coupled with a non-sterile, single-use, flexible clearing stem, placed in the tube, to actuate the stem clog disrupter (e.g., a wire or rod) and disrupt the obstruction. The actuator may contain internal replaceable or rechargeable batteries.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Package	20850458007618	GS1	Carton	10	In Commercial Distribution
Primary	00850458007614	GS1
Package	10850458007611	GS1	Carton	5	In Commercial Distribution

Premarket Submissions

Submission Number	Supplement Number
K163092	000