| No | Primary DI | Version or Model | Catalog Number | Device Description | Product Code | Product Code Name | Device Class | Brand Name |
|---|---|---|---|---|---|---|---|---|
| 1 | 00610570176519 | 08148200 | EYJ | Holder, Ureteral Catheter | CHAS CATH-MATE STRAP | |||
| 2 | 00610570191055 | 90001701 | ITW | Joint, Ankle, External Brace | 1 | F8X LACER ANKLE W/STAYS XS | ||
| 3 | 00610570191000 | 90001681 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER PUMP AIR WALKER XS | ||
| 4 | 00610570191246 | 90005134 | ILI | Sling, Arm | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 5 | 00610570191291 | 90005144 | IQI | Orthosis, Limb Brace | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 6 | 00610570191208 | 90001618 | ITQ | Joint, Knee, External Brace | 1 | 18" PEDIATRIC KNEE IMMOBILIZER | ||
| 7 | 00610570190898 | 90001524 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER II PNEUMATIC WALKER FIXED LG | ||
| 8 | 00610570190768 | 90001501 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER PUMP AIR WALKER XS | ||
| 9 | 00610570190690 | 90001444 | ILI | Sling, Arm | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 10 | 00610570190584 | 08142850 | ITQ | Joint, Knee, External Brace | 1 | B-COOL KNEE IMMOB 16" W/2,2.0 PKS | ||
| 11 | 00610570190492 | 08140084 | IQI | Orthosis, Limb Brace | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 12 | 00610570190126 | 90001288 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER II LOW-TOP FIXED XL | ||
| 13 | 00610570189939 | 90000935 | ITW | Joint, Ankle, External Brace | 1 | SPRINT AIR ANKLE WLKR LOW TOP XL | ||
| 14 | 00610570189908 | 90000932 | ITW | Joint, Ankle, External Brace | 1 | SPRINT AIR ANKLE WLKR LOW TOP SM | ||
| 15 | 00610570189892 | 90000931 | ITW | Joint, Ankle, External Brace | 1 | SPRINT AIR ANKLE WLKR LOW TOP XS | ||
| 16 | 00610570189854 | 90000902 | ITW | Joint, Ankle, External Brace | 1 | SPRINT AIR ANKLE WALKER SM | ||
| 17 | 00610570189748 | 90000824 | ILI | Sling, Arm | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 18 | 00610570189687 | 90000130 | ILI | Sling, Arm | 1 | SUPER SLING PILLOW WITH WAIST STRAP | ||
| 19 | 00610570189427 | 50004032 | IQI | Orthosis, Limb Brace | 1 | U2 WRIST W/ THUMB UNIV PED RT | ||
| 20 | 00610570189359 | 90000814 | ILI | Sling, Arm | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 21 | 00610570189076 | 90001305 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER II LOW-TOP FIXED XL | ||
| 22 | 00610570188871 | 08146487 | ITQ | Joint, Knee, External Brace | 1 | HKO KNEE W/ ROM HINGE 3XL | ||
| 23 | 00610570188796 | 08146499 | ITQ | Joint, Knee, External Brace | 1 | HKO 16" KNEE W/ ROM HINGE 5XL | ||
| 24 | 00610570188734 | 08146390 | ITQ | Joint, Knee, External Brace | 1 | HKO 16" ANT. CLOSURE KNEE 6XL | ||
| 25 | 00610570188680 | 90001021 | ITQ | Joint, Knee, External Brace | NEOPRENE KNEE SLEEVE W/CO 6X | |||
| 26 | 00610570188628 | 08142024 | IQI | Orthosis, Limb Brace | 1 | MESH VELPEAU SHOULDER IMMOB LG | ||
| 27 | 00610570188536 | 50008448 | ITQ | Joint, Knee, External Brace | 1 | L'TIMATE HINGED KNEE W/LATERAL PULL 4XL | ||
| 28 | 00610570188529 | 50008447 | ITQ | Joint, Knee, External Brace | 1 | L'TIMATE HINGED KNEE W/LATERAL PULL 3XL | ||
| 29 | 00610570188475 | 50008442 | ITQ | Joint, Knee, External Brace | 1 | L'TIMATE HINGED KNEE W/LATERAL PULL SM | ||
| 30 | 00610570188468 | 50008441 | ITQ | Joint, Knee, External Brace | 1 | L'TIMATE HINGED KNEE W/LATERAL PULL XS | ||
| 31 | 00610570188437 | 08144352 | IQI | Orthosis, Limb Brace | 1 | COMFOR ELBOW IMMOBILIZER SM | ||
| 32 | 00610570188338 | 08144754 | ITW | Joint, Ankle, External Brace | 1 | P.F.S. COMPRESSION SLEEVE LG | ||
| 33 | 00610570187973 | 90000546 | ILI | Sling, Arm | 1 | ENVELOPE ARM SLING W/PAD XXL | ||
| 34 | 00610570187966 | 90000545 | ILI | Sling, Arm | 1 | ENVELOPE ARM SLING W/FM PAD XL | ||
| 35 | 00610570187867 | 08144517 | FSD | Binder, Abdominal | 1 | 8" ABDOMINAL BINDER 54-60 IN. 3XL | ||
| 36 | 00610570187270 | 08140452 | IKX | Aid, Transfer | 45" WALKING BELT BLUE | |||
| 37 | 00610570185894 | 08146495 | ITQ | Joint, Knee, External Brace | 1 | HKO 16" KNEE W/ ROM HINGE XL | ||
| 38 | 00610570185290 | 08140611 | IME | Pack, Hot Or Cold, Reusable | B-COOL 3.0 COLD PACK 5.5" X 11" | |||
| 39 | 00610570185139 | 90009998 | ILI | Sling, Arm | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 40 | 00610570184835 | 08147206 | IQI | Orthosis, Limb Brace | 1 | ULNAR S FRACTURE BRACE MD RT | ||
| 41 | 00610570184828 | 08147205 | IQI | Orthosis, Limb Brace | 1 | ULNAR S FRACTURE BRACE SM RT | ||
| 42 | 00610570183791 | 08142572 | FSD | Binder, Abdominal | 1 | Y MATE LUMBOSACRAL SM | ||
| 43 | 00610570183258 | 50002532 | ITW | Joint, Ankle, External Brace | 1 | F8X LACER ANKLE SUPPORT W/STAYS SM | ||
| 44 | 00610570182992 | 90003372 | IME | Pack, Hot Or Cold, Reusable | 1 | B-COOL UNIV WRAP COLD THERAPY KIT | ||
| 45 | 00610570180820 | 08142532 | ITW | Joint, Ankle, External Brace | 1 | F8X LACER ANKLE W/STAYS SM | ||
| 46 | 00610570180813 | 08142531 | ITW | Joint, Ankle, External Brace | 1 | F8X LACER ANKLE W/STAYS XS | ||
| 47 | 00610570180059 | 1-518A-03 | ITW | Joint, Ankle, External Brace | GRID IRON XR WALKER MD | |||
| 48 | 00610570179909 | 90004431 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER PUMP AIR WALKER XS | ||
| 49 | 00610570177929 | 08149308 | IKX | Aid, Transfer | TERI-TREDS ADULT 9-10 | |||
| 50 | 00610570177851 | 08149202 | IKX | Aid, Transfer | TERI-TREDS CHILD SM |
| No | Primary DI | Version or Model | Catalog Number | Device Description | Brand Name | Organization Name |
|---|---|---|---|---|---|---|
| 1 | 00840216112483 | 798506 | Rolyan Post-op Shoe, L, Men | PERFORMANCE HEALTH | ASP GLOBAL, LLC | |
| 2 | 00840216112407 | 798507 | Rolyan Post-op Shoe, XL, Men | PERFORMANCE HEALTH | ASP GLOBAL, LLC | |
| 3 | 00840216112391 | 798501 | Rolyan Post-op Shoe, S, Women | PERFORMANCE HEALTH | ASP GLOBAL, LLC | |
| 4 | 00840216112384 | 798504 | Rolyan Post-op Shoe, S, Men | PERFORMANCE HEALTH | ASP GLOBAL, LLC | |
| 5 | 00840216112360 | 798505 | Rolyan Post-op Shoe, M, Men | PERFORMANCE HEALTH | ASP GLOBAL, LLC | |
| 6 | 00840216112353 | 798503 | Rolyan Post-op Shoe, L, Women | PERFORMANCE HEALTH | ASP GLOBAL, LLC | |
| 7 | 00840216112346 | 798502 | Rolyan Post-op Shoe, M, Women | PERFORMANCE HEALTH | ASP GLOBAL, LLC | |
| 8 | 00818323027242 | INS1023WS | Women's Silicone Gel Heel Cup Pink Small | ViveSole | VIVE HEALTH LLC | |
| 9 | 00818323027235 | INS1023ML | Men's Silicone Gel Heel Cup Blue Large | Vive Sole | VIVE HEALTH LLC | |
| 10 | 00818323027099 | INS1028 | Hammer Toe and Budin Splint | Vivesole | VIVE HEALTH LLC | |
| 11 | 00818323027082 | INS1023WL | Women's Silicone Gel Heel Cup Pink Large | Vivesole | VIVE HEALTH LLC | |
| 12 | 00818323027020 | INS1020W | Vivesole Gel Insole Women's | Vivesole | VIVE HEALTH LLC | |
| 13 | 00818323027013 | INS1020M | Vivesole Gel Insole Men's | Vivesole | VIVE HEALTH LLC | |
| 14 | 00818323027006 | INS1019XS | Plantar Plus XSmall | Vivesole | VIVE HEALTH LLC | |
| 15 | 00818323026993 | INS1019XL | Plantar Plus XLarge | Vivesole | VIVE HEALTH LLC | |
| 16 | 00818323026986 | INS1019S | Plantar Plus Small | Vivesole | VIVE HEALTH LLC | |
| 17 | 00818323026931 | INS1023MS | Men's Silicone Gel Heel Cup Blue Small | Vivesole | VIVE HEALTH LLC | |
| 18 | 00818323026924 | INS1019M | Plantar Plus Medium | Vivesole | VIVE HEALTH LLC | |
| 19 | 00818323026917 | INS1019L | Plantar Plus Large | Vivesole | VIVE HEALTH LLC | |
| 20 | 00818323026900 | INS1013S | Shock Gel 3/4 Women's | VIVE | VIVE HEALTH LLC | |
| 21 | 00818323026894 | INS1013L | Shock gel 3/4 Men's | Vivesole | VIVE HEALTH LLC | |
| 22 | 00818323026825 | INS1008 | Sore Spots | VIVE | VIVE HEALTH LLC | |
| 23 | 00818323026818 | INS1007 | Sore Spots | VIVE | VIVE HEALTH LLC | |
| 24 | 00818323026801 | INS1006XS | Vivesole 3/4 XSmall | Vivesole | VIVE HEALTH LLC | |
| 25 | 00818323026795 | INS1006XL | Vivesole 3/4 XLarge | Vivesole | VIVE HEALTH LLC | |
| 26 | 00818323026788 | INS1006S | Vivesole 3/4 Small | Vivesole | VIVE HEALTH LLC | |
| 27 | 00818323026771 | INS1006M | Vivesole 3/4 Medium | Vivesole | VIVE HEALTH LLC | |
| 28 | 00818323026764 | INS1006L | Vivesole | VIVE HEALTH LLC | ||
| 29 | 00818323026757 | INS1005XS | Vivesole Full XSmall | Vivesole | VIVE HEALTH LLC | |
| 30 | 00818323026733 | INS1005XL | Vivesole Full XLarge | Vivesole | VIVE HEALTH LLC | |
| 31 | 00818323026726 | INS1005S | Vivesole Full Small | Vivesole | VIVE HEALTH LLC | |
| 32 | 00818323026559 | INS1005M | Vivesole Full Medium | Vivesole | VIVE HEALTH LLC | |
| 33 | 00818323026542 | INS1005L | Vivesole Full Large | Vivesole | VIVE HEALTH LLC | |
| 34 | 00818323026535 | INS1004S | Shock Gel Full Women's | VIVE | VIVE HEALTH LLC | |
| 35 | 00818323026528 | INS1004L | Shock Gel Full Men's | VIVE | VIVE HEALTH LLC | |
| 36 | 00818323026511 | INS1002XS | Envelop 3/4 XSmall | VIVE | VIVE HEALTH LLC | |
| 37 | 00818323026504 | INS1002XL | Envelop 3/4 XLarge | VIVE | VIVE HEALTH LLC | |
| 38 | 00818323026450 | INS1002S | Envelop 3/4 Small | VIVE | VIVE HEALTH LLC | |
| 39 | 00818323026443 | INS1002M | Envelope 3/4 Medium | VIVE | VIVE HEALTH LLC | |
| 40 | 00818323026412 | INS1002L | Envelop 3/4 Large | VIVE | VIVE HEALTH LLC | |
| 41 | 00818323026405 | INS1001XS | Envelop Full XSmall | VIVE | VIVE HEALTH LLC | |
| 42 | 00818323026399 | INS1001XL | Envelop Full XLarge | VIVE | VIVE HEALTH LLC | |
| 43 | 00818323026382 | INS1001S | Envelop Full Small | VIVE | VIVE HEALTH LLC | |
| 44 | 00818323026375 | INS1001M | Envelop Full Medium | VIVE | VIVE HEALTH LLC | |
| 45 | 00818323026368 | INS1001L | Envelop Full Large | VIVE | VIVE HEALTH LLC | |
| 46 | 00818323026078 | INS1017 | Toe Ring Spacers 4 pack (2 ; 1 ; 1 ) | VIVE | VIVE HEALTH LLC | |
| 47 | 00818323020786 | INS1032L | Memory Foam Insoles (Large) | Vivesole | VIVE HEALTH LLC | |
| 48 | 00818323020779 | INS1032M | Memory Foam Insoles (Medium) | Vivesole | VIVE HEALTH LLC | |
| 49 | 00810060887349 | AFO-10-RW-PFS | Plantar Flexion Stop (single) - articulated ankle joint attached to Ponseti AFO, Plantar Flexion Stop (single) - articulated ankle joint attached to Ponseti AFO, L1971 eachAFO-PFS SIZE 10 RIGHT GRAY | MD Orthopaedics | MD ORTHOPAEDICS, INC. | |
| 50 | 00810060887141 | AFO-P6-0-PRW | Ankle foot orthosis, prefabricated (pair), to be attached to abduction brace, L1 Ankle foot orthosis, prefabricated (pair), to be attached to abduction brace, L1930 x 2AFO SIZE P6-0 PAIR GRAY | MD Orthopaedics | MD ORTHOPAEDICS, INC. |