RELI

Basic Information

• Brand Name: RELI
• Primary DI: 10386120011278
• Version / Model: 169018 M
• Catalog Number: 169018 M
• Company Name: MYCO MEDICAL SUPPLIES INC.
• Labeler DUNS: 879187821
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 100
• Record Status: Published
• Publish Date: 2022-03-01
• Public Version: 1
• Public Version Date: 2022-03-09
• Public Version Status: New
• Public Device Record Key: 25fc6b1c-f924-40ef-908f-d592c79a60fc

Device Description

RELI® Blood Collection Tube Holder

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: Yes
• 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: No
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
FMI	Needle, Hypodermic, Single Lumen	General Hospital	880.5570	2

GMDN Terms

Code	Name	Definition	Implantable	Status
37566	Blood collection tube holder, single-use	A hand-held cylindrical device designed to be used together with an evacuated blood collection tube to draw blood samples from a patient. It is typically a hollow plastic adaptor into which the blood collection tube is inserted and to which the user attaches a hypodermic blood collection needle (not included); it may include an integrated blood collection tube spike. This device also facilitates a multiple-tube blood collection via one venipuncture. This is a single-use device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Package	20386120011275	GS1	Case	10	In Commercial Distribution
Primary	10386120011278	GS1
Unit of Use	00386120011271	GS1

Premarket Submissions

Submission Number	Supplement Number
K173279	000