n.a.

Basic Information

• Brand Name: n.a.
• Primary DI: 04048551051863
• Version / Model: 11582M
• Company Name: Karl Storz GmbH & Co. KG
• Labeler DUNS: 315731430
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2016-09-23
• Public Version: 3
• Public Version Date: 2018-07-06
• Public Version Status: Update
• Public Device Record Key: 97094f6b-152f-4ba8-bd52-3dba5097304a

Device Description

Stone Extractor, 0.4 mm, 4 wires

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
GCJ	Laparoscope, general & plastic surgery	Gastroenterology, Urology	876.1500	2

GMDN Terms

Code	Name	Definition	Implantable	Status
58981	Salivary stone retrieval basket	A sterile, flexible, manual endotherapy instrument designed to remove salivary stones (calculi) from a salivary duct during an endoscopic procedure. It is typically designed with a long, thin, flexible shank that has an expandable basket of wire at its distal end in which the stones are caught for extraction. It is typically introduced through the working channel of a sialendoscope. This is a single-use device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	04048551051863	GS1

Premarket Submissions

Submission Number	Supplement Number
K012527	000