GUDID 00851830007277

Delta Force P.U. US NSM

NEW SOURCE MEDICAL, LLC

Alternating-pressure bed mattress overlay system

• Primary Device ID: 00851830007277
• NIH Device Record Key: cce10262-f539-44fd-9055-cac4cc6d0f24
• Commercial Distribution Status: In Commercial Distribution
• Version Model Number: S2203-3131
• 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: false
• Serial Number: true
• 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	00851830007277 [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