FDA UDI In Commercial Distribution 🇺🇸 United States

Standard Imaging Lucy 3D QA Phantom

DI: 00850019946505 · Model: 91210 · STANDARD IMAGING INC.
Product Codes
1
GMDN Terms
1
Identifiers
1
Pkg Device Count
1

Basic Information

Brand Name
Standard Imaging Lucy 3D QA Phantom
Primary DI
00850019946505
Version / Model
91210
Catalog Number
91210
Company Name
STANDARD IMAGING INC.
Labeler DUNS
788084705
Distribution Status
In Commercial Distribution
Device Count in Pkg
1
Record Status
Published
Publish Date
2023-06-22
Public Version
1
Public Version Date
2023-06-30
Public Version Status
New
Public Device Record Key
fa496635-8537-4d66-b977-73068d890f0b

Device Description

Standard Imaging Lucy 3D QA Phantom is designed to perform comprehensive quality assurance tests for an entire stereotactic radiosurgery/SRT procedure. The phantom allows verification of treatment planning software calculations for volume measurements, distance measurements, image fusion and image transfer. Dosimetry verification is accomplished via components that accommodate ion chambers, film, MOSFETs, TLDs and polymer gels.

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
No
PM Exempt
Yes
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
IXG Phantom, Anthropomorphic, Radiographic

GMDN Terms

Code Name
40631 Multi-modality therapeutic radiation phantom, test object

Identifiers

Type ID
Primary 00850019946505