FDA UDI In Commercial Distribution 🇺🇸 United States

Pacific West Medical

DI: 00852397008028 · Model: PWMC100-Philips · PACIFIC WEST MEDICAL, INC.
Product Codes
1
GMDN Terms
1
Identifiers
2
Pkg Device Count
1

Basic Information

Brand Name
Pacific West Medical
Primary DI
00852397008028
Version / Model
PWMC100-Philips
Catalog Number
PWMC100-Philips
Company Name
PACIFIC WEST MEDICAL, INC.
Labeler DUNS
926938275
Distribution Status
In Commercial Distribution
Device Count in Pkg
1
Record Status
Published
Publish Date
2018-04-03
Public Version
3
Public Version Date
2023-02-20
Public Version Status
Update
Public Device Record Key
27ce71b8-9298-4c86-8770-b597b2d8ba8c

Device Description

The Pacific West Medical Adult/Child Radiotransparent Multi-Function Electrodes are indicated for use in external pacing, defibrillation and monitoring applications as a disposable device for single patient use only. The electrodes provide the conductive interface between the defibrillator and/or external transcutaneous (noninvasive) cardiac pacemaker and the patient's skin. The electrode is intended for use on Adult/Child patients (>22lbs/10kg). When a patient requires defibrillation, cardioversion or external pacing, these electrodes will be applied to the patient and connected to the instrument. This device is intended for use on defibrillators whose output is classified as low power (360 joule maximum). Compatible with Philips Plug style connector models of monophasic and bi-phasic defibrillators.

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
No
Sterilization Prior Use
No

Product Codes

Code Name
MLN Electrode, Electrodcardiograph, Multi-Function

GMDN Terms

Code Name
11130 Electrode conductive skin pad, single-use

Identifiers

Type ID
Primary 00852397008028
Package 00852397008059

Customer Contacts

Premarket Submissions

Submission Number Supplement Number
K080421 000

Storage Conditions

Type
Storage Environment Temperature
Temperature Range
-4 – 104 Degrees Fahrenheit
Type
Storage Environment Temperature
Temperature Range
-20 – 40 Degrees Celsius