UltraDome

Basic Information

• Brand Name: UltraDome
• Primary DI: 10686004000320
• Version / Model: 750LFP
• Company Name: I.V. House, Inc.
• Labeler DUNS: 805602950
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 100
• Record Status: Published
• Publish Date: 2023-07-21
• Public Version: 1
• Public Version Date: 2023-07-31
• Public Version Status: New
• Public Device Record Key: 13516dfb-a389-4996-8957-9652b259255e

Device Characteristics

• Single Use: Yes
• Prescription Use (Rx): No
• Over the Counter (OTC): No
• Kit: No
• Combination Product: No
• HCT/P: No
• Contains NRL: No
• Not Made with NRL: Yes
• MRI Safety: MR Safe
• Direct Marking Exempt: No
• PM Exempt: Yes
• 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
KMK	DEVICE, INTRAVASCULAR CATHETER SECUREMENT	General Hospital	880.5210	1

GMDN Terms

Code	Name	Definition	Implantable	Status
65042	Intravenous access site protector	A dressing-like device intended to cover and protect an intravenous access site to manage and help prevent complications (e.g., leakage, bleeding, infection). It is available in a variety of designs which may include a foam pad intended to absorb exudates/blood and a transparent shield that allows observation, sometimes with holes for ventilation. This is a single-use device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Unit of Use	00686004000323	GS1
Primary	10686004000320	GS1