LiquiPhil™ DDP015

GUDID 00812266030802

Optional PTW31030 Chamber Mount

Providus Holdings, Inc.

Multi-modality therapeutic radiation phantom, anthropomorphic
Primary Device ID00812266030802
NIH Device Record Key9f1a1eb7-4e18-468b-93f0-3f35c57089b9
Commercial Distribution StatusIn Commercial Distribution
Brand NameLiquiPhil™
Version Model NumberDDP015
Catalog NumberDDP015
Company DUNS104162493
Company NameProvidus Holdings, Inc.
Device Count1
DM Exemptfalse
Pre-market Exempttrue
MRI Safety StatusLabeling does not contain MRI Safety Information
Human Cell/Tissue Productfalse
Device Kitfalse
Device Combination Productfalse
Single Usefalse
Lot Batchfalse
Serial Numberfalse
Manufacturing Datefalse
Expiration Datefalse
Donation Id Numberfalse
Contains Natural Rubber Latexfalse
Labeled No Natural Rubber Latexfalse
RX Perscriptionfalse
OTC Over-The-Counterfalse

Device Identifiers

Device Issuing AgencyDevice ID
GS100812266030802 [Primary]

FDA Product Code

IXGPhantom, Anthropomorphic, Radiographic

Sterilization

Steralize Prior To Usefalse
Device Is Sterilefalse

Device Entry Metadata

Public Version StatusNew
Device Record StatusPublished
Public Version Number1
Public Version Date2024-05-15
Device Publish Date2024-05-07

On-Brand Devices [LiquiPhil™]

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

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