Blood Specimen Conveneience Kit

Basic Information

• Brand Name: Blood Specimen Conveneience Kit
• Primary DI: 00859952006130
• Version / Model: SA94721
• Catalog Number: SA94721
• Company Name: CAPITOL VIAL, INC.
• Labeler DUNS: 151639481
• Distribution Status: Not in Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2017-08-25
• Public Version: 4
• Public Version Date: 2023-08-23
• Public Version Status: Update
• Public Device Record Key: ee0e1ac4-6a82-404a-804a-014ca8af6ed6
• Distribution End Date: 2021-12-31

Device Characteristics

• Single Use: Yes
• Prescription Use (Rx): No
• Over the Counter (OTC): No
• Kit: Yes
• 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: 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
JKA	Tubes, Vials, Systems, Serum Separators, Blood Collection	Clinical Chemistry	862.1675	2

GMDN Terms

Code	Name	Definition	Implantable	Status
47591	Evacuated blood collection tube IVD, anticoagulant/antiglycolytic	A glass or plastic tube, sealed with a stopper, containing a pre-measured amount of vacuum, an anticoagulant [e.g., ethylenediaminetetraacetic acid (EDTA), ammonium oxalate, potassium oxalate, sodium heparin, sodium citrate], and an antiglycolytic agent (e.g., sodium fluoride, lithium iodoacetate). It is intended to be used for the collection, and preservation and/or transport, of blood for analysis and/or other investigation (e.g., blood glucose or lactate determinations). This is a single-use device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	00859952006130	GS1
Package	30859952006131	GS1	Carton	48	Not in Commercial Distribution	2021-12-31
Package	20859952006134	GS1	Carton	10	Not in Commercial Distribution	2021-12-31
Package	10859952006137	GS1	Carton	5	Not in Commercial Distribution	2021-12-31

Customer Contacts

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