XSTAT P30

Basic Information

• Brand Name: XSTAT P30
• Primary DI: 00851587006226
• Version / Model: FIN-0017-21
• Catalog Number: FIN-0017-21
• Company Name: REVMEDX, INC.
• Labeler DUNS: 961523441
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2023-01-17
• Public Version: 1
• Public Version Date: 2023-01-25
• Public Version Status: New
• Public Device Record Key: 7f9d43a2-36b6-4352-965c-6ae84e695a29

Device Description

Hemostatic device for severe bleeding. Each device comprises 3 pouches containing minisponges. Each pouch contains a radiopaque marker.

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: 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
PGZ	Non-Absorbable, Expandable, Hemostatic Sponge For Temporary Internal Use	General, Plastic Surgery	878.4452	2
NAB	Gauze / Sponge,Nonresorbable For External Use	General, Plastic Surgery	878.4014	1

GMDN Terms

Code	Name	Definition	Implantable	Status
38496	Radiopaque woven surgical sponge	A non-medicated device made from woven gauze (e.g., cotton, cellulose) primarily intended to be used inside the body, on a surgical incision or applied to internal organs or structures to control bleeding, absorb fluid, or protect organs or structures from abrasion, drying, or contamination during a procedure; also referred to as a laparotomy sponge, it may also be used for prepping the patient. It contains an x-ray detectable marker [e.g., a thread or strand(s)] to help detect gossypiboma (sponge left inside patient). This is a single-use device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	00851587006226	GS1

Customer Contacts

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

Premarket Submissions

Submission Number	Supplement Number
K210676	000

Device Sizes

Type	Value	Unit	Text
Outer Diameter	28.5	Millimeter

Storage Conditions

• Type: Special Storage Condition, Specify
• Special Conditions: Store at Room Temperature