miniPhantom R

Basic Information

• Brand Name: miniPhantom R
• Primary DI: EIBAM10900000
• Version / Model: M1090000
• Company Name: IBA Dosimetry GmbH
• Labeler DUNS: 332599307
• Distribution Status: Not in Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2021-04-07
• Public Version: 2
• Public Version Date: 2021-04-21
• Public Version Status: Update
• Public Device Record Key: e34667a6-8b17-4bb7-a8f9-7f28422c434a
• Distribution End Date: 2021-04-21

Device Description

miniPhantom R used as Patient QA Phantom with MatriXX Resolution

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

GMDN Terms

Code	Name	Definition	Implantable	Status
38399	Accelerator system quality assurance device	An instrument specifically designed to be used to check the calibration and performance of linear and non-linear medical accelerator systems used for radiation therapy applications, for quality assurance (QA) purposes. It includes a variety of instruments used to measure parameters associated with particle and photon beam production, beam quality, and other system performance parameters.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Package	EIBAM10900001	HIBCC	Carry Case	1	Not in Commercial Distribution	2021-04-21
Primary	EIBAM10900000	HIBCC

Customer Contacts

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