Hulka Clips

Basic Information

• Brand Name: Hulka Clips
• Primary DI: 00861523000102
• Version / Model: 4986.90
• Catalog Number: 4986.09
• Company Name: RICHARD WOLF MEDICAL INSTRUMENTS CORP.
• Labeler DUNS: 057842122
• Distribution Status: Not in Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2014-11-11
• Public Version: 4
• Public Version Date: 2018-07-06
• Public Version Status: Update
• Public Device Record Key: c64d66b5-5930-418f-aeb1-0804a52573eb
• Distribution End Date: 2016-08-10

Device Description

Tubal Occluding Device in a sterile pouch (2 Hulka Clips per pouch)

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: 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
KNH	Device, Occlusion, Tubal, Contraceptive	Obstetrics/Gynecology	884.5380	3

GMDN Terms

Code	Name	Definition	Implantable	Status
33598	Fallopian tube clip/band	An implantable device applied externally to the fallopian tube(s) to constrict the tube and prevent the passage of ova. It is typically used during tubal ligation procedures and functions as a contraceptive device.	Yes	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	00861523000102	GS1
Package	10861523000109	GS1	paper box	10	Not in Commercial Distribution	2016-08-10

Customer Contacts

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

Premarket Submissions

Submission Number	Supplement Number
P870080	002