GUDID 00810050245173

3" HYBRID FOAM TABLE PAD FOR CAT880B

DOMICO MED-DEVICE, LLC

Multifunction body cushion Multifunction body cushion Multifunction body cushion Multifunction body cushion Multifunction body cushion Multifunction body cushion Multifunction body cushion Multifunction body cushion Multifunction body cushion Multifunction body cushion Multifunction body cushion Multifunction body cushion

• Primary Device ID: 00810050245173
• NIH Device Record Key: 1b44ff9d-9df5-48f1-86f0-a90f098a35f4
• Commercial Distribution Status: In Commercial Distribution
• Version Model Number: 9439
• 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: 3 Inch
• Height: 3 Inch
• Height: 3 Inch
• Height: 3 Inch
• Height: 3 Inch
• Height: 3 Inch
• Height: 3 Inch
• Height: 3 Inch
• Height: 3 Inch
• Height: 3 Inch
• Height: 3 Inch
• Height: 3 Inch

Device Identifiers

Device Issuing Agency	Device ID
GS1	00810050245173 [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: 2022-03-14
• Device Publish Date: 2022-03-04

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�