Prone Thorax Support Cushion 301102

GUDID 00841439101261

For use with Belly Board

MEDTEC, INC.

Radiological pelvis positioner

• Primary Device ID: 00841439101261
• NIH Device Record Key: c630ce17-fa14-4e3c-8993-0e3a7698e1bc
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Prone Thorax Support Cushion
• Version Model Number: 301102
• Catalog Number: 301102
• Company DUNS: 103977526
• Company Name: MEDTEC, INC.
• Device Count: 1
• DM Exempt: true
• Pre-market Exempt: false
• MRI Safety Status: MR Safe
• 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: false
• RX Perscription: true
• OTC Over-The-Counter: false

Customer Support Contacts

• Phone: +1(712)737-8688
• Email: radiotherapy.complaints@civcort.com

Device Dimensions

• Length: 14.6 Inch

Device Identifiers

Device Issuing Agency	Device ID
GS1	00841439101261 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K121545

FDA Product Code

• LNH: System, nuclear magnetic resonance imaging

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 6
• Public Version Date: 2020-03-19
• Device Publish Date: 2017-08-02

Devices Manufactured by MEDTEC, INC.

• 10841439113650 - ProForm™ Thermoplastic: 2024-02-20 IMRT style 18 thermoplastic (3.2mm)
• 10841439113667 - ProForm™ Thermoplastic: 2024-02-20 IMRT FreedomView thermoplastic (3.2mm)
• 10841439113674 - ProForm™ Thermoplastic: 2024-02-20 IMRT style 18 thermoplastic (3.2mm)
• 10841439113681 - ProForm™ Thermoplastic: 2024-02-20 IMRT Clear Vision 2 open face thermoplastic (3.2mm)
• 10841439113698 - ProForm™ Thermoplastic: 2024-02-20 IMRT FreedomView thermoplastic (3.2mm)
• 10841439113704 - ProForm™ Thermoplastic: 2024-02-20 IMRT Clear Vision 2 open face thermoplastic (3.2mm)
• 00841439114490 - Molded Hand Grip: 2024-02-20 For use with Pro Wing Board™ or Monarch™
• 00841439114513 - Mevion Rectangular Backrest: 2024-02-12 For use with Mevion S250-FIT Proton Therapy System™