Axiom

Basic Information

• Brand Name: Axiom
• Primary DI: 00840363368634
• Version / Model: Lateral Trunk Supports
• Catalog Number: PLLAS4X5PBR
• Company Name: KI MOBILITY, LLC
• Labeler DUNS: 609305656
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2025-03-17
• Public Version: 1
• Public Version Date: 2025-03-25
• Public Version Status: New
• Public Device Record Key: bda99688-3e0e-4bed-9b34-655326470f67

Device Description

4 x 5 Lateral Pads with Adjustable Swing Away Mounting Hardware for BTX - Right (E0956,E1028)

Device Characteristics

• Single Use: No
• Prescription Use (Rx): No
• Over the Counter (OTC): Yes
• 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: Yes
• 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
KNO	ACCESSORIES, WHEELCHAIR	Physical Medicine	890.3910	1

GMDN Terms

Code	Name	Definition	Implantable	Status
45887	Wheelchair head/trunk support, prefabricated	A prefabricated (non-customized) padded and contoured device designed to attach to the back/seat of a wheelchair to provide the wheelchair occupant with head and trunk postural support and comfort. It may include armrests, a cushioned seat, a belt/harness, thigh support, and/or a tray table. It might additionally be designed for use as a car seat to provide support in vehicles during transportation. This is a reusable device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	00840363368634	GS1

Customer Contacts

• Phone: [phone]
• Email: [email protected]

Device Sizes

Type	Value	Unit	Text
Length	4	Inch
Width	5	Inch