Portrait Head Only Mask Adapter for Access Supine

Basic Information

• Brand Name: Portrait Head Only Mask Adapter for Access Supine
• Primary DI: 00841962120401
• Version / Model: RT-4546-03
• Catalog Number: RT-4546-03
• Company Name: Qfix
• Labeler DUNS: 808875397
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2025-12-02
• Public Version: 1
• Public Version Date: 2025-12-10
• Public Version Status: New
• Public Device Record Key: a9b65279-cc1e-44bb-9b8c-a1ed30332f88

Device Description

Portrait Head Only Mask Adapter for Access Supine

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: MR Safe
• Direct Marking Exempt: No
• PM Exempt: No
• Has Serial Number: Yes
• 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
JAI	Couch, Radiation Therapy, Powered	Radiology	892.5770	2

GMDN Terms

Code	Name	Definition	Implantable	Status
40899	Radiological breast positioner, non-wearable	A device that is specifically designed to ensure adequate positioning and immobilization of the female patient's breast(s) and chest during diagnostic imaging procedures, image-guided surgical or interventional procedures, and/or radiation therapy procedures. The device is in the form of a frame, board, cushion, or preformed pad (non-wearable device) and may also be used to facilitate reproducible positioning for serial imaging studies or serial radiation therapy treatments.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	00841962120401	GS1

Customer Contacts

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

Premarket Submissions

Submission Number	Supplement Number
K060671	000