GUDID 00810050244800

BOLSTER, 6.63" x 9" x 18"

DOMICO MED-DEVICE, LLC

Multifunction body cushion

• Primary Device ID: 00810050244800
• NIH Device Record Key: f5411e43-d1b0-40b3-8ab7-8027f0dcb134
• Commercial Distribution Status: In Commercial Distribution
• Version Model Number: 124
• Company DUNS: 081253414
• Company Name: DOMICO MED-DEVICE, LLC
• Device Count: 1
• DM Exempt: false
• Pre-market Exempt: true
• MRI Safety Status: Labeling does not contain MRI Safety Information
• Human Cell/Tissue Product: false
• Device Kit: false
• Device Combination Product: false
• Single Use: false
• Lot Batch: true
• Serial Number: false
• Manufacturing Date: true
• Expiration Date: false
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: true
• RX Perscription: false
• OTC Over-The-Counter: false

Device Dimensions

• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch
• Height: 6.63 Inch
• Width: 9 Inch
• Length: 18 Inch

Device Identifiers

Device Issuing Agency	Device ID
GS1	00810050244800 [Primary]

FDA Product Code

• KXJ: Table, Radiologic

Sterilization

• Steralize Prior To Use: false
• Device Is Sterile: false

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2021-10-15
• Device Publish Date: 2021-10-07

Devices Manufactured by DOMICO MED-DEVICE, LLC

• 00810050245524 - NA: 2024-07-01 The Shield, Aquilion ONE
• 00810050245531 - NA: 2024-07-01 Aquilion ONE INSIGHT Kit. Includes: 9006 - STRAP, CHIN (00810050242103), 9007 - STRAP, FOREHEAD W/ADULT PAD (00810050242134), 90
• 00810050245517 - NA: 2024-01-08 MRI BREAST POSITIONING SYSTEM - RMI
• 00810050245500 - NA: 2023-11-08 KIT, SMALL, "A". Includes: 112-UF - DISC, CIRCULAR, 7” DIAMETER x 1.5” (00810050240581), 114-UF - RECTANGLE, 2” x 7.5” x
• 10810050245446 - NA: 2023-10-23 Cord Management Drape
• 00810050245494 - NA: 2023-10-23 Domico MRI Breast Positioning System™
• 00810050245470 - NA: 2023-05-09 RECTANGLE, 3" x 7.50" x 10"
• 00810050245487 - NA: 2023-05-09 KIT, LARGE. Includes: 100-UF - BLOCK, TORSO, 7” x 12” x 16” (00810050243605), 101-UF - BLOCK, BASALAR, 7” x 16” x 12�