| Primary Device ID | 00812266030550 |
| NIH Device Record Key | 1376b3b5-1018-4ece-90a7-7bc762f8b89e |
| Commercial Distribution Status | In Commercial Distribution |
| Brand Name | ATCM Phantom |
| Version Model Number | CCT228 |
| Catalog Number | CCT228 |
| Company DUNS | 104162493 |
| Company Name | Providus Holdings, Inc. |
| 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 | false |
| Serial Number | false |
| Manufacturing Date | false |
| Expiration Date | false |
| Donation Id Number | false |
| Contains Natural Rubber Latex | false |
| Labeled No Natural Rubber Latex | false |
| RX Perscription | false |
| OTC Over-The-Counter | false |
| Device Issuing Agency | Device ID |
|---|---|
| GS1 | 00812266030550 [Primary] |
| IXF | Test-Pattern, Radiographic |
| Steralize Prior To Use | false |
| Device Is Sterile | false |
| Public Version Status | New |
| Device Record Status | Published |
| Public Version Number | 1 |
| Public Version Date | 2024-02-19 |
| Device Publish Date | 2024-02-09 |
| 00812266031403 - Catphan® | 2025-01-21 High Resolution Module |
| 00812266030529 - Corgi® | 2024-10-11 The Corgi® Phantom is a modular phantom designed for evaluation of cone beam imaging systems. |
| 00812266030758 - LiquiPhil™ | 2024-05-15 Additional 2cm x 4cm tumor vessel and support post |
| 00812266030765 - LiquiPhil™ | 2024-05-15 PTW Pinpoint Chamber Adapter |
| 00812266030772 - LiquiPhil™ | 2024-05-15 LiquiPhil™ End-to-End Pelvis, includes pelvis form, two 10cm ovoid tumor vessels and permanent storage case |
| 00812266030789 - LiquiPhil™ | 2024-05-15 Optional Tumor Vessel Assembly, 10cm Tumor Vessel Assembly includes 10cm x 12cm threaded 10cm Tumor Vessel Assembly includes 10c |
| 00812266030796 - LiquiPhil™ | 2024-05-15 LiquiPhil™ End-to-End Half Sphere Phantom, Includes chamber mount for A116. |
| 00812266030802 - LiquiPhil™ | 2024-05-15 Optional PTW31030 Chamber Mount |