White cap

Basic Information

• Brand Name: White cap
• Primary DI: 04953170027147
• Version / Model: MH-155
• Company Name: OLYMPUS MEDICAL SYSTEMS CORP.
• Labeler DUNS: 711789789
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2016-09-21
• Public Version: 8
• Public Version Date: 2023-01-16
• Public Version Status: Update
• Public Device Record Key: eb42d4d1-5f4a-4e1f-b5d4-9c0d89a6b2a8

Device Description

"MH-155 WHITE CAP REPLACEMENT"

Device Characteristics

• Single Use: No
• 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: Yes
• Has Expiration Date: No
• Has Donation ID: No

Sterilization

• Is Sterile: No
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
FDF	Colonoscope and accessories, flexible/rigid	Gastroenterology, Urology	876.1500	2
FDS	Gastroscope and accessories, flexible/rigid	Gastroenterology, Urology	876.1500	2
NWB	Endoscope, accessories, narrow band spectrum	Gastroenterology, Urology	876.1500	2

GMDN Terms

Code	Name	Definition	Implantable	Status
64379	Endoscope calibration cover, reusable	A plastic cap/cover designed to be placed onto the distal end of an endoscope to allow white balance and/or 3-D adjustment to be calibrated in the electronic control unit of the endoscope. This is a reusable device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	04953170027147	GS1

Customer Contacts

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