FDA UDI
Not in Commercial Distribution
🇺🇸 United States
Tamper Evident Cap
DI: B21257302WSTAQ9
·
Model: 57-302W STAQ
·
INTERNATIONAL MEDICAL INDUSTRIES INC.
Product Codes
1
GMDN Terms
1
Identifiers
2
Pkg Device Count
100
Basic Information
- Brand Name
- Tamper Evident Cap
- Primary DI
- B21257302WSTAQ9
- Version / Model
- 57-302W STAQ
- Catalog Number
- 57-302W STAQ
- Company Name
- INTERNATIONAL MEDICAL INDUSTRIES INC.
- Labeler DUNS
- 053469565
- Distribution Status
- Not in Commercial Distribution
- Device Count in Pkg
- 100
- 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
- d2d7fa3f-586f-4619-8035-db88db9d38c8
- Distribution End Date
- 2026-01-19
Device Description
RECORD OBSOLETE - REDUNDANT / DUPLICATE Tamper Evident Cap - STAQ Logo Tyvek Pouch
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 | B21257302WSTAQ20 | HIBCC | ||||
| Primary | B21257302WSTAQ9 | HIBCC |
Premarket Submissions
| Submission Number | Supplement Number |
|---|---|
| K231095 | 000 |