Tamper Evident Cap

Basic Information

• Brand Name: Tamper Evident Cap
• Primary DI: B21257302RSTAQ09
• Version / Model: 57-302R STAQ
• Catalog Number: 57-302R STAQ
• Company Name: INTERNATIONAL MEDICAL INDUSTRIES INC.
• Labeler DUNS: 053469565
• Distribution Status: Not in Commercial Distribution
• Device Count in Pkg: 1000
• Record Status: Published
• Publish Date: 2025-03-04
• Public Version: 2
• Public Version Date: 2026-01-20
• Public Version Status: Update
• Public Device Record Key: 0d4ae20a-d020-4ed2-bd57-2e83d425389a
• Distribution End Date: 2026-01-19

Device Description

RECORD OBSOLETE - REDUNDANT / DUPLICATE Tamper Evident Cap - STAQ Logo - Box

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: 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: Yes
• Has Donation ID: No

Sterilization

• Is Sterile: Yes
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
FMF	Syringe, Piston	General Hospital	880.5860	2

GMDN Terms

Code	Name	Definition	Implantable	Status
63614	Luer-formatted protective cap	A small, noninvasive, closed-ended Luer attachment intended to be attached to a luminal device (e.g., catheter, intravenous administration or pressure-monitoring tubing, syringe) with a Luer connection to close the device lumen, typically to prevent fluid path contamination and/or spillage; it is not intended to disinfect/maintain disinfection. It is typically made of synthetic polymers and may incorporate a strap; it does not incorporate a filter or valve. 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	B21257302RSTAQ30	HIBCC
Primary	B21257302RSTAQ09	HIBCC