LiquiPhil™

Basic Information

• Brand Name: LiquiPhil™
• Primary DI: 00812266030727
• Version / Model: TLP290
• Catalog Number: TLP290
• Company Name: Providus Holdings, Inc.
• Labeler DUNS: 104162493
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2024-05-03
• Public Version: 1
• Public Version Date: 2024-05-13
• Public Version Status: New
• Public Device Record Key: 2daea5d4-29ab-4ff9-a0e6-9eebf634c7da

Device Description

LiquiPhil™ End-to-End Head II with Bite Feature, Radiosurgery Verification Phantom including head form with bite feature, three 2cm x 4cm threaded ovoid tumor vessels, and permanent storage case

Device Characteristics

• Single Use: No
• Prescription Use (Rx): No
• Over the Counter (OTC): No
• Kit: No
• Combination Product: No
• HCT/P: No
• Contains NRL: No
• Not Made with NRL: No
• MRI Safety: Labeling does not contain MRI Safety Information
• Direct Marking Exempt: No
• PM Exempt: Yes
• Has Serial Number: No
• Has Lot/Batch Number: No
• Has Manufacturing Date: No
• Has Expiration Date: No
• Has Donation ID: No

Sterilization

• Is Sterile: No
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
IXG	Phantom, Anthropomorphic, Radiographic	Radiology	892.1950	1

GMDN Terms

Code	Name	Definition	Implantable	Status
40624	Multi-modality therapeutic radiation phantom, anthropomorphic	A device consisting of preserved human or animal tissue, or a two or three-dimensional (3-D) tissue-equivalent model designed to simulate the functional, physical, or a combination of these characteristics of normal or diseased human organs. It is available in both fixed and variable designs and typically include holders for ionization chambers, dosimeters or radiation measurement instruments. It is a quality assurance (QA) device enabling detailed mapping of therapeutic radiation dose distributions. This dose information is used for quantitative and subjective assessments of the performance of a radiation therapy treatment planning system (RTTPS) and therapeutic radiation delivery systems.	No	Active
40631	Multi-modality therapeutic radiation phantom, test object	A device consisting of a variety of multi-modality radiation therapy phantom designs. It can consist of an object of uniform material density or a two or three-dimensional (3-D) model containing patterns of objects, materials, or openings. It is available in both fixed and variable configurations including holders for ionization chambers, dosimeters or other radiation measurement instruments. It is a quality assurance (QA) device used in the calibration of photon and electron beam emitting radiation therapy systems and the measurement of performance attributes, e.g., beam flatness, symmetry, dose depth or geometric accuracy.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	00812266030727	GS1