IPPS™ Couchtop

Basic Information

• Brand Name: IPPS™ Couchtop
• Primary DI: 00841439104965
• Version / Model: MTIL3604
• Catalog Number: MTIL3604
• Company Name: MEDTEC, INC.
• Labeler DUNS: 103977526
• Distribution Status: Not in Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2017-08-02
• Public Version: 7
• Public Version Date: 2020-01-02
• Public Version Status: Update
• Public Device Record Key: 10be1613-aeb9-41ae-9b88-a5d982456b64
• Distribution End Date: 2020-01-02

Device Description

Non-sterile reusable couchtop with Prodigy™ Lok-Bar™, couchtop cushions (5), simulator cushions (7) and baseplate for use with Accuray® RoboCouch®

Device Characteristics

• Single Use: No
• Prescription Use (Rx): Yes
• 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: Yes
• PM Exempt: No
• Has Serial Number: Yes
• Has Lot/Batch Number: Yes
• 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
IXQ	Table, radiographic, stationary top	Radiology	892.1980	2
IYE	Accelerator, linear, medical	Radiology	892.5050	2

GMDN Terms

Code	Name	Definition	Implantable	Status
40897	Indexed-immobilization patient positioning system	A assembly of devices used primarily in radiation therapy applications, and consisting of an indexed treatment or imaging table (couch) that contains locking interfaces used to attach various positioning and immobilization devices to numbered or lettered (indexing) points on the table. It is used to ensure both adequate positioning and immobilization of a patient and to help ensure reproducible alignment between a target portion of the patient's anatomy and the radiation beams or fields used in radiation therapy treatments, diagnostic imaging studies. It may accommodate a variety of anatomically targeted patient positioning and immobilization attachments.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	00841439104965	GS1

Customer Contacts

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

Premarket Submissions

Submission Number	Supplement Number
K933227	000
K973842	000

Storage Conditions

• Type: Storage Environment Temperature
• Temperature Range: 10 – 100 Degrees Fahrenheit