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| NIIN: | 01-372-1129 | Item Name: | INC: | 28250 |
| FSC: | 6515 | Assignment Date: | Mar-03-1993 | CRIT: | X | IIG: | 28250 |
| ISC: | 5 | Date Standardized: | Mar-03-1993 | HMIC: | N | DODIC: |
| NSC: | 4 | Cancellation Date: | Oct-22-2024 | PMIC: | A | FIIG: | A23800 |
| ESD: | Schedule B: | DEMIL: | A | DEMIL INT: |
| TIIC: | 4 | Originator: | 97 | ADPEC: | RPDMRC: | 9 |
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| Part Number | CAGE | Company | Status | RN CC | RN VC | DAC | RN AAC | RN FC | RN SC | RN JC | SADC | HCC | MSDS |
| HEN-4688-01 | 8U429 | HENLEY OPERATING CO DBA HENLEY INTL INC DBA HENLEY HOME CARE | H | 3 | 9 | 4 | 54 |
| MRC | Requirement Statement | Reply Statement |
| AJJW | COMPONENT QUANTITY | 165 |
| AJJX | COMPONENT DOCUMENT ORIGIN | INDUSTRIAL |
| AJJY | DOCUMENT SOURCE | 8U429 |
| AJJZ | DOCUMENT TYPE | MFR LETTER |
| AJKB | COMPONENT DOCUMENT PAGE NUMBER | 2 AND 3 AND 4 |
| AJKD | NONSUPPLY ITEMS AND QUANTITIES | LISTING-COMPUTER INSERT GENERATED AT HPD 1; LARGE LABEL 1; "PAPAVERINE" LABEL 2; "EPINEPHINE" LABEL 1; "HEPARIN" LABEL 2; 1/2X1/2 BLANK WHITE LABEL 1; 25X14X21 MASTER CARTON 1;28X34ID HEAD. 4ML 1; LARGE DEEP PREP TRAY 1; DRAPE SHEET 1; 30X30 GRADE 33 WRAP 1; 19-1/8X12-3/4X3/4 TRAY 1; CUTTING 3/8 CIRC NEEDLE 2; 6X9 2ML ZIPLOCK BAG 1; 54X86 TABLE COVER 1; VASCULAR TOURNIQUET 1; 61MM FOGARTY INSERT 1; 86MM FOGARTY INSERT 1; THREE COMPARTMENT TRAY 1; NO. 10 CARBON STEEL BLADE 2; NO. 11 CARBON STEEL BLADE ; NO. 15 CARBON STEEL BLADE 2; 10CC SLIP TIP SYRINGE 3; 22GX1-1/2" REG BEV BLACK NEEDLE 1; 20GX1-1/2" REG BEV YELLOW NEEDLE 1; 18GX1-1/2" BEV W/TIP SHIELD NEEDLE 1; 20CC LUER LOCK TIP SYRINGE 2; 30CC LUER LOCK TIP SYRINGE 1; 1/4 "Y" CONNECTOR 1; 4X14 DRESSING 1; PEANUT 3/8 XRAY 5/PK SPONGE 1; 1/2" STRAIGHT CONNECTOR; 3-WAY MLL STOPCOCK 2; 3-1/2X3-1/2 WING LARGE SPONGE 6; 2-0 DEXON SUTURE 2; 0 DEXON SUTURE 1; NO.1 DEXON SUTURE 1; 3-0 DEXC9 NDL SUTURE 2 |
| AJYJ | PACKAGE MODEL NUMBER | HEN-4688-01 |
| AKMX | STERILITY | STERILE |
| ANGD | DISPOSITION AFTER INITIAL USE | DISPOSABLE |
| AYDR | DOCUMENT IDENTIFICATION | PRODUCT STRUCTURE INQUIRY |
| FEAT | SPECIAL FEATURES | QUANTITY PER UNIT PACK: 2; 1/4X10 F/MLD COND SUCTION TUBING 2; 14FR CATHETER 1; TEF 3/8X3/16/1/16 L 6PK PLED 1; 6/PK STERNOTOMY WIRE SUTURE 1; 28FR RIGHT ANGLE SOFT CHEST TUBE 1; 16GX24 W/WIRE INTRACATHETER 2; X-LARGE COUNTER NEEDLE GUARD MAGNET NEEDLE 1; 30X30 PLASTIC CSR 1.5 MIL BLUE/WHITE WRAP 1; NO.2 SILK BLK BR 2-60" SUTUPAK SA8H SUTURE 1; 2.5GM. BONE WAX 2; O ETHIBOND 6X30 LABYETHICON X306H SUT 2; SILK 0 30" SUTURE 2; 4-0 ETHIBON D SUTURE 2; 2-0 ETHIBOND SUTURE 7; NO.5 SILK 60" SUTURE 1; CARDIAC PACING WIRE SUTURE 3; 19X32 CUT PIECE FOAM 1; ADAPT LUER STUB 18G STRAIGHT NEEDLE 2.0; 4X8 16 PLY XR RAYTEC SPONGE 20; CLOSURE LABEL 2; ABSORBENT TOWEL 4; MAYO STAND COVER 1; 18X18PW LAP BANDED SPONGE 20; BLUE LINEN TOWEL 3; 2 OZ. ASEPTO BULB SYRING 2; X-AM MED AMBIDEXT N/S GLOVE 1; 4 OZ. PVP GEL SOLUTION 1; SCISSOR 5-1/2 INS 1; EXTRA PROTECTION GOWN (NONSTERILE) 4; TIP CLEANER 1; 1/4" BANDAGE 1; IOBAN DRAPE 4; BLADE TIP-DISP CUATERY 1; 25PK TANTALUM MEDIUM HEMOCLIP |
| MOE Rule | Former MOER | Effective | AMC | AMSC | IMC | IMCA | Collaborators | Receivers |
| V540 | Apr-01-1991 | 0 | 0 | 54 | 54 |
(978) 774-7999 x600
