GUDID 00851830007192

NSM IB Cover 42'' x 84'' QLT -1p

NEW SOURCE MEDICAL, LLC

Alternating-pressure bed mattress overlay system

• Primary Device ID: 00851830007192
• NIH Device Record Key: 4335c1ad-10b2-4943-ae7f-9bf5caac6c19
• Commercial Distribution Status: In Commercial Distribution
• Version Model Number: S2001-A550
• Company DUNS: 080211059
• Company Name: NEW SOURCE MEDICAL, LLC
• 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: 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: false
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
GS1	00851830007192 [Primary]

FDA Product Code

• FNM: Mattress, Air Flotation, Alternating Pressure

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 2
• Public Version Date: 2018-03-29
• Device Publish Date: 2017-03-22

Devices Manufactured by NEW SOURCE MEDICAL, LLC

• 00851830007000 - NA: 2018-03-29 Air Force 1000 IB M-set 36'' x 80'' QLT NSM
• 00851830007017 - NA: 2018-03-29 Air Force 1000 IB M-set 36'' x 84'' QLT NSM
• 00851830007024 - NA: 2018-03-29 Air Force 1000 IB M-set 48'' x 80'' QLT NSM
• 00851830007031 - NA: 2018-03-29 Air Force 1000 ST M-set 36'' x 80'' QLT NSM
• 00851830007048 - NA: 2018-03-29 Air Force 1000 ST M-set 36'' x 84'' QLT NSM
• 00851830007055 - NA: 2018-03-29 Air Force 1000 ST M-set 48'' x 84'' QLT NSM
• 00851830007062 - NA: 2018-03-29 Air Force 1000 ST M-set 42'' x 84'' QLT NSM
• 00851830007079 - NA: 2018-03-29 Air Force 1000 IB M-set 54'' x 80'' QLT NSM