FDA UDI In Commercial Distribution 🇺🇸 United States

Provox® BasePlate Adaptor

DI: 07331791001697 · Model: 7263 · Atos Medical AB
Product Codes
1
GMDN Terms
1
Identifiers
1
Pkg Device Count
1

Basic Information

Brand Name
Provox® BasePlate Adaptor
Primary DI
07331791001697
Version / Model
7263
Company Name
Atos Medical AB
Labeler DUNS
355470923
Distribution Status
In Commercial Distribution
Device Count in Pkg
1
Record Status
Published
Publish Date
2016-09-11
Public Version
3
Public Version Date
2018-07-06
Public Version Status
Update
Public Device Record Key
694f0ab1-ba4e-4030-92d9-f5e83b041876

Device Description

The Provox BasePlate Adaptor is an accessory product for rehabilitation after total laryngectomy. It allows attaching medical devices with ISO 15mm standard connector to a tracheostoma by fitting it into a Provox Adhesive base plate, Provox LaryButton or Provox LaryTube. A typical example would be to attach an HME with built-in oxygen adapter (TrachPhone). For single patient use.

Device Characteristics

Single Use
Yes
Prescription Use (Rx)
No
Over the Counter (OTC)
Yes
Kit
No
Combination Product
No
HCT/P
No
Contains NRL
No
Not Made with NRL
No
MRI Safety
MR Safe
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
JOH Tube Tracheostomy And Tube Cuff

GMDN Terms

Code Name
58705 Tracheostoma protective filter

Identifiers

Type ID
Primary 07331791001697

Customer Contacts

Phone
+4641519800

Premarket Submissions

Submission Number Supplement Number
K014102 000

Storage Conditions

Type
Special Storage Condition, Specify
Special Conditions
Keep dry. Keep away from sunlight.
Type
Handling Environment Temperature
Temperature Range
36 – 108 Degrees Fahrenheit