Registration Header Parameters

Normalized identity and public registration information from FDA records.

Source

FDA Device Registration & Listing

Record Type

Device registration/listing

Registration Number

3008552585

FEI Number

3008552585

Entity Name

CUSTOM INTERVENTIONAL PAIN MANAGEMENT

City/State/Country

San Antonio, TX, US

Establishment Address

12460 Network Blvd, Ste. 106, San Antonio, TX 78249, US

Establishment Type(s)

Manufacture Medical Device

Owner / Operator

Custom Interventional Pain Management (Owner Number: 10033818)

Owner / Operator Contact Address

12460 Network Blvd, Ste. 106, San Antonio, TX 78249, US

Initial Importer Flag

Expiration Date (Year)

2026

510(k) Number

N/A

PMA Number

N/A

All Registered Proprietary Names

Bone Access Kit Custom Anesthesia Kit Individual Ancillary Item Kit Nerve Block Tray Continuous Regional Anesthesia Kit

Registered Product Listings

Product Code	Device Name	Medical Specialty	Device Class	Regulation Number	Created Date
PXO	Bone Marrow Biopsy Tray	General, Plastic Surgery	Class 1	878.4800	2023-07-18
OGD	Custom Anesthesia Tray	Anesthesiology	Class 2	868.5120	2011-11-15
OGJ	Nerve Block Tray	Anesthesiology	Class 2	868.5140	2011-11-15
OFQ	Anesthesia Kit	Anesthesiology	Class 2	868.5120	2010-10-07

Official Correspondent

Denise Ontiveros

US Agent Details

No US Agent registered (Local establishment).

Related Public Records

Same Entity

Custom Interventional Pain Management

View consolidated registration, premarket clearance, and recall records for this applicant.

View Entity Profile →

Related Recall Records

Recall ID	Recalling Firm	Recall Class	Product Description
Z-0015-2012	Deroyal Industries, Inc. Lafollette	2	Custom anesthesia kits labeled as follows: (1) DeRoyal (R) Adult Exp Anesthesia Circuit, REF 86-001737, Rx Only, NON-STERILE, Manufactured by: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; Lot Number 25660996 (2) DeRoyal (R) Adult Anesthesia Circuit, REF 86-001781, Rx Only, NON-STERILE, Manufactured by: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; Lot Numbers: 25574115, 25624514, 25661260, 25702578, 25766272, 25835901, 25835910, 25873406, 25906061, 25960681 (3) DeRoyal (R) Latex Safe Anesthesia Kit, REF 86-001641, Rx Only, NON-STERILE, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA: Lot Numbers: 25573171, 25765667, 25834853, 25834861 (4) DeRoyal (R) Custom Anesthesia Kit, REF 86-001619, Rx Only, NON-STERILE, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA: Lot Number 25573155 (5) DeRoyal (R) Anesthesia Kit, REF 86-001669, Rx Only, NON-STERILE, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA: Lot Numbers: 25313484, 25702324, 25977977 Intended Use: Varies by kit; an anesthesia breathing circuit is a device that is intended to administer medical gases to a patient during anesthesia. It provides both an inhalation and exhalation route and may include a connector, adaptor, and Y-piece.

Similar Registrations

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3004519921	TRI-STATE DE MEXICO, S. DE R.L. DE C.V.	MEXICALI Baja California, MX
1220477	ISOMEDIX OPERATIONS INC.	Northborough, MA, US
1423537	Cardinal Health 200, LLC	Waukegan, IL, US
3004111573	Sterigenics US LLC	Grand Prairie, TX, US

Source Citation & Summary: This public preview is extracted from openFDA device registration and listing logs under registration number 3008552585. Last updated year: 2026. Please use registration number 3008552585 when referencing this establishment in official correspondence.