NA

Basic Information

• Brand Name: NA
• Primary DI: 10810030861000
• Version / Model: MCM290
• Catalog Number: MCM290
• Company Name: MID CENTRAL MEDICAL CORP.
• Labeler DUNS: 076907973
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2020-09-30
• Public Version: 2
• Public Version Date: 2023-10-18
• Public Version Status: Update
• Public Device Record Key: 430b05b3-f446-4376-a42d-a47c403b9774

Device Description

SS Foot Controlled IV Pole, 5 Leg 22 inch diameter. Base, 4 Hook Top. Fully welded stainless steel constructed IV Pole with 22 inch diameter 5 Leg spider base. Foot control height adjustment leaves hands free to adjust pole, IV Tubing and bags. 2 inch swivel casters make moving easy. Bar to protect foot pedal from getting bumped. 4 Hook ram’s horn style top. 1.25 inches in diameter pole adjust in height from 52 inch to 94 inch. Easy to raise, simply by lifting pole to desired height. Ships fully assembled no further assembly required.

Device Characteristics

• Single Use: No
• Prescription Use (Rx): No
• 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: Yes
• Has Serial Number: Yes
• Has Lot/Batch Number: No
• Has Manufacturing Date: No
• 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
FOX	Stand, Infusion	General Hospital	880.6990	1

GMDN Terms

Code	Name	Definition	Implantable	Status
36069	Freestanding/bed-attached intravenous pole	A freestanding or equipment-attached metal rod with two or more hooked bars extending horizontally from its top from which various fluid delivery devices (bags or bottles) can be suspended for the administration of intravenous (IV) fluids/medication to the patient. It is used during infusion therapy for intravenous administration of fluids/solutions or blood transfusions. Infusion pumps and/or syringe pumps can also be attached to it. Also called an IV pole or drip pole, it can be a fixed or side-swinging, adjustable, vertical pole attached to a bed, operating table, wheelchair, or more commonly, an independent floor-standing IV pole for bedside use; some have wheels for patient mobility.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	10810030861000	GS1

Customer Contacts

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

Device Sizes

Type	Value	Unit	Text
Height	94	Inch
Outer Diameter	22	Inch