myQA® SRS Phantom

GUDID EIBASR020001

myQA® SRS Phantom for myQA SRS detector for SRS and SBRT patient plan verification

IBA Dosimetry GmbH

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• Primary Device ID: EIBASR020001
• NIH Device Record Key: 435e0023-fd4f-42a4-a7b3-bb690a08ae9f
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: myQA® SRS Phantom
• Version Model Number: SR02-000
• Company DUNS: 332599307
• Company Name: IBA Dosimetry GmbH
• 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: true
• OTC Over-The-Counter: false

Customer Support Contacts

• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com
• Phone: +1 786 288 0369
• Email: service-usa@iba-group.com

Device Identifiers

Device Issuing Agency	Device ID
HIBCC	EIBASR020000 [Primary]
HIBCC	EIBASR020001 [Package]; Contains: EIBASR020000; Package: Carry Case [1 Units]; In Commercial Distribution

FDA Product Code

• IXG: Phantom, Anthropomorphic, Radiographic

Sterilization

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

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2021-04-15
• Device Publish Date: 2021-04-07

Devices Manufactured by IBA Dosimetry GmbH

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• EIBAHA03010V0040 - Lift table: 2023-09-27 Electric Lift Table Type 115V
• EIBAHA050000 - Water Reservoir: 2023-08-11 Waterreservoir - bidirectional pump, 230V
• EIBAHA050100 - Water Reservoir: 2023-08-11 Waterreservoir - bidirectional pump, 115V
• EIBAE30702001 - myQA SRS Detector Cyberknife edition: 2023-08-02 myQA SRS Cyberknife edition
• EIBAE20702000 - DOSE-X: 2023-04-21 DOSE-X Dosimeter TNC
• EIBAE20703000 - DOSE-X: 2023-04-21 DOSE-X Dosimeter BNC