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U.S. Department of Health and Human Services

Establishment Registration & Device Listing

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Proprietary Name: 453564588501, Transpac IV Dual IBP Cable; 867030, IntelliVue Multi-Measurement Module X3; 867033, IntelliVue Patient Monitor MX100; 867039, IntelliVue Hemodynamic Extension; 867043, IntelliVue Dock; 989803199741, Dual IBP Adapter
Classification Name: ALARM, BLOOD-PRESSURE
Product Code: DSJ
Device Class: 2
Regulation Number: 870.1100
Medical Specialty: Cardiovascular
Registered Establishment Name: Philips Electronics Ltd
Registered Establishment Number: 3000126629
Premarket Submission Number: K171801
Owner/Operator: Philips Medical Systems International BV
Owner/Operator Number: 1217116
Establishment Operations: Foreign Exporter
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