Prone-Lok™ Positioning Cushion MTPLC01

GUDID 00841439107003

Reusable non-sterile (40.6 x 40.6cm) cushion

MEDTEC, INC.

Radiological headrest

• Primary Device ID: 00841439107003
• NIH Device Record Key: 36bcae60-a475-4ca2-bbb4-ce9b24112b54
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Prone-Lok™ Positioning Cushion
• Version Model Number: MTPLC01
• Catalog Number: MTPLC01
• Company DUNS: 103977526
• Company Name: MEDTEC, INC.
• Device Count: 1
• DM Exempt: true
• Pre-market Exempt: false
• 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: false
• RX Perscription: true
• OTC Over-The-Counter: false

Customer Support Contacts

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

Operating and Storage Conditions

• Special Storage Condition, Specify: Between 0 and 0 *Keep away from sunlight

Device Identifiers

Device Issuing Agency	Device ID
GS1	00841439107003 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K973842

FDA Product Code

• IXQ: Table, radiographic, stationary top

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 4
• Public Version Date: 2019-05-31
• Device Publish Date: 2017-08-02

Devices Manufactured by MEDTEC, INC.

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• 00841439114858 - Headrest - TIMO Size A, B, C, D, E, F: 2024-12-12 (19.8 x 12.2 x 6.4cm) size A; (22.6 x 11.9 x 6.4cm) size B; (23.1 x 11.7 x 7.4cm) size C; (23.4 x 12.4 x 8.9cm) size D; (21.8 x
• 00841439114865 - Headrest - Timo Size A: 2024-12-12 (19.8 x 12.2 x 6.4cm)
• 00841439114872 - Headrest - Timo size B: 2024-12-12 (22.6 x 11.9 x 6.4cm)
• 00841439114889 - Headrest - Timo size C: 2024-12-12 (23.1 x 11.7 x 7.4cm)
• 00841439114896 - Headrest - Timo size D: 2024-12-12 (23.4 x 12.4 x 8.9cm)
• 00841439114902 - Headrest - Timo size E: 2024-12-12 (21.8 x 12.2 x 10.2cm)
• 00841439114919 - Headrest - Timo Size F: 2024-12-12 (23.4 x 12.2 x 9.1cm)