LiquiPhil™ DDP015

GUDID 00812266030802

Optional PTW31030 Chamber Mount

Providus Holdings, Inc.

Multi-modality therapeutic radiation phantom, anthropomorphic

• Primary Device ID: 00812266030802
• NIH Device Record Key: 9f1a1eb7-4e18-468b-93f0-3f35c57089b9
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: LiquiPhil™
• Version Model Number: DDP015
• Catalog Number: DDP015
• 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 Identifiers

Device Issuing Agency	Device ID
GS1	00812266030802 [Primary]

FDA Product Code

• IXG: Phantom, Anthropomorphic, Radiographic

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: 2024-05-15
• Device Publish Date: 2024-05-07

On-Brand Devices [LiquiPhil™]

• 00812266030680: Hollow Tumors, Ovoid, Ovoid, hollow tumor set of five with one each of the following diameters:
• 00812266030673: Hollow Tumors, Spherical, Spherical, hollow tumor set of seven with one each of the following di
• 00812266030741: Two Plane Film Holder, has two 1mm channels for holding dosimetry film.
• 00812266030734: Optional Tumor Vessel Inserts, 5mm Plug Holder, holds the 5mm plugs listed on the RANDO® price
• 00812266030727: LiquiPhil™ End-to-End Head II with Bite Feature, Radiosurgery Verification Phantom including h
• 00812266030710: LiquiPhil™ End-to-End Head, Radiosurgery Verification Phantom including head form, three 2cm x
• 00812266030703: Combination set of nine hollow tumors with one each of the following sizes: Spherical: 1cm, 1.5c
• 00812266030697: Hollow Tumors, Combination Sets of Spherical and Ovoid, Combination set of six hollow tumors
• 00812266030802: Optional PTW31030 Chamber Mount
• 00812266030796: LiquiPhil™ End-to-End Half Sphere Phantom, Includes chamber mount for A116.
• 00812266030789: Optional Tumor Vessel Assembly, 10cm Tumor Vessel Assembly includes 10cm x 12cm threaded 10cm Tu
• 00812266030772: LiquiPhil™ End-to-End Pelvis, includes pelvis form, two 10cm ovoid tumor vessels and permanent
• 00812266030765: PTW Pinpoint Chamber Adapter
• 00812266030758: Additional 2cm x 4cm tumor vessel and support post