TUMARK Q, Length 12 cm, Diameter 18G, GTIN 04250195603081, REF 271500, STERILE
There is a potential risk of puncture to the packaging material which can compromise the devices sterility, making it non-sterile.
NY - Only one US distributor
https://www.accessdata.fda.gov/scripts/ires/index.cfm?Product=Z-0410-2018