| No | Primary DI | Version or Model | Catalog Number | Device Description | Product Code | Product Code Name | Device Class | Brand Name |
|---|---|---|---|---|---|---|---|---|
| 1 | 00888912402996 | 79977 | KIT HIVOLT PROBE | IPF | Stimulator, muscle, powered | 2 | CHATTANOOGA | |
| 2 | 00888912022330 | 3013 | BARIATRC VF DISP CLF CF ASY PR | JOW | SLEEVE, LIMB, COMPRESSIBLE | 2 | AIRCAST | |
| 3 | 00888912008549 | 11B01 | LARGE KNEE CUFF ONLY | ILO | Pack, hot or cold, water circulating | 2 | AIRCAST | |
| 4 | 00888912006675 | 11-1522 | ICEMAN, ANKLE COLD PAD | ILO | Pack, hot or cold, water circulating | 2 | DONJOY | |
| 5 | 00190446703457 | 88-040000048494 | XTender Long | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 6 | 00888912025362 | 78046 | APPLICATOR 10CM ASSY | IMI | Ultrasonic diathermy for use in applying therapeutic deep heat | 2 | CHATTANOOGA | |
| 7 | 00888912348669 | 4767 | KIT TRITON DTS PKG INT'L STD | ITH | EQUIPMENT, TRACTION, POWERED | 2 | CHATTANOOGA | |
| 8 | 00888912292122 | 27376 | KIT LEAD 2CH EPR | IKD | CABLE, ELECTRODE | 2 | CHATTANOOGA | |
| 9 | 00888912022460 | 30A | VENAFLOW SYSTEM | JOW | SLEEVE, LIMB, COMPRESSIBLE | 2 | AIRCAST | |
| 10 | 00888912000154 | 1033 | THERATHERM MOISTHEAT PAD SHLDR | IRT | PAD, HEATING, POWERED | 2 | CHATTANOOGA | |
| 11 | 00190446660330 | 155-79-84027 | ARM SLING, CTN/POLY LG | ILI | SLING, ARM | 1 | PROCARE | |
| 12 | 00190446660323 | 155-79-84025 | ARM SLING, CTN/POLY MED | ILI | SLING, ARM | 1 | PROCARE | |
| 13 | 00190446660316 | 155-79-84023 | ARM SLING, CTN/POLY SM | ILI | SLING, ARM | 1 | PROCARE | |
| 14 | 00190446660309 | 155-79-84022 | ARM SLING, CTN/POLY XSM | ILI | SLING, ARM | 1 | PROCARE | |
| 15 | 00190446714033 | 88-814000004021 | U2 WRIST UNIV LT | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 16 | 00888912026932 | 79-80090 | 16 CKD KNEE IMMOBILIZER | MHW | Dressing, compression | 1 | PROCARE | |
| 17 | 00888912026321 | 79-72273 | PRO HEEL CUPS/PAIR - SMALL | KYS | INSOLES, MEDICAL | 1 | PROCARE | |
| 18 | 00190446708223 | 88-578000370513 | WRIST/HAND ORTHOSIS, BLK, L LT | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 19 | 00190446708216 | 88-578000370512 | WRIST/HAND ORTHOSIS, BLK, M LT | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 20 | 00190446708209 | 88-578000370511 | WRIST/HAND ORTHOSIS, BLK, S LT | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 21 | 00190446708155 | 88-578000370501 | WRIST/HAND ORTHOSIS, BLK, S RT | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 22 | 00190446707783 | 88-578000370534 | Wrist Hand Thumb Orthosis XL LT | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 23 | 00190446707745 | 88-578000370530 | Wrist Hand Thumb Orthosis XS LT | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 24 | 00190446707691 | 88-578000370520 | Wrist Hand Thumb Orthosis XS RT | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 25 | 00190446707417 | 88-578000372071 | Ulnar Splint S | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 26 | 00190446662709 | 155-79-81235 | SHOE, POST-OP SQ TOE MED | KNP | ORTHOSIS, CORRECTIVE SHOE | 1 | PROCARE | |
| 27 | 00190446662693 | 155-79-81233 | SHOE, POST-OP SQ TOE SM | KNP | ORTHOSIS, CORRECTIVE SHOE | 1 | PROCARE | |
| 28 | 00190446660552 | 155-79-96024 | KNEE IMMOBILIZER, XL 24 IN | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | PROCARE | |
| 29 | 00190446660538 | 155-79-96019 | KNEE IMMOBILIZER, XL 20 IN | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | PROCARE | |
| 30 | 00190446660521 | 155-79-96018 | KNEE IMMOBILIZER, XL 18 IN | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | PROCARE | |
| 31 | 00190446660514 | 155-79-96016 | KNEE IMMOBILIZER, UNIV 16 IN | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | PROCARE | |
| 32 | 00190446660507 | 155-79-96014 | KNEE IMMOBILIZER, UNIV 14 IN | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | PROCARE | |
| 33 | 00190446660491 | 155-79-96012 | KNEE IMMOBILIZER, UNIV 12 IN | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | PROCARE | |
| 34 | 00190446660347 | 155-79-84028 | ARM SLING, CTN/POLY XLG | ILI | SLING, ARM | 1 | PROCARE | |
| 35 | 00190446714224 | 88-004000041214 | CONFRMR I DIAB BOOT,1CUF,RT,XXL | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 36 | 00190446714125 | 88-814000000019 | Universal Arm Sling with Foam Strap Adult | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 37 | 00190446714040 | 88-814000004020 | U2 WRIST UNIV RT | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 38 | 00190446713968 | 88-814000006295 | HKO ANTERIOR CLOSURE KNEE XL | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 39 | 00190446713586 | 88-814000006293 | HKO ANTERIOR CLOSURE KNEE MD | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 40 | 00190446713579 | 88-814000006292 | HKO ANTERIOR CLOSURE KNEE SM | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 41 | 00190446713548 | 88-814008144803 | BAKER PLANTAR FASCIITIS NIGHT SPLINT, MEDIUM | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 42 | 00190446713517 | 88-814008144802 | BAKER PLANTAR FASCIITIS NIGHT SPLINT, SMALL | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 43 | 00190446707134 | 88-578000883065 | ELBOW SLEEVE W/PAD, 1/8, LARGE | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 44 | 00190446707004 | 88-578000994303 | Soft Heel Cushions L | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 45 | 00190446706991 | 88-578000994302 | Soft Heel Cushions M | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 46 | 00190446706977 | 88-578000994301 | Soft Heel Cushions S | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 47 | 00190446705888 | 88-578000372183 | MID LENGTH HUMERAL SPLINT, LARGE | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 48 | 00190446705734 | 88-578000751015 | ANKLE STIRRUP W/AIR LINER BLK | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 49 | 00190446705000 | 88-578000372163 | Extended Length Humeral Splint L | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE | |
| 50 | 00190446704997 | 88-578000372162 | Extended Length Humeral Splint M | ITQ | JOINT, KNEE, EXTERNAL BRACE | 1 | NON FRANCHISE |
| No | Primary DI | Version or Model | Catalog Number | Device Description | Brand Name | Organization Name |
|---|---|---|---|---|---|---|
| 1 | 00888912393409 | 79-91337-900 | ADJ ALUM CRUTCH, LG, PAIR | PROCARE | DJO, LLC | |
| 2 | 00888912393393 | 79-91335-900 | ADJ ALUM CRUTCH, MED, PAIR | PROCARE | DJO, LLC | |
| 3 | 00888912393386 | 79-91333-900 | ADJ ALUM CRUTCH, SM, PAIR | PROCARE | DJO, LLC | |
| 4 | 00885556012871 | 71070365 | 71070365 | SPATIAL FRAME ROCKER RING | SPATIAL FRAME | SMITH & NEPHEW, INC. |
| 5 | 00860002590813 | HFC30303 | iWALK3.0 is a assistive mobility device most accurately described as a hands fre iWALK3.0 is a assistive mobility device most accurately described as a hands free crutch. It acts as a temporary lower leg orthotic or prosthetic and provides hands free mobility for non-weight bearing lower leg injuries. It recruits the uninjured upper leg of the user to provide ambulation. | iWALK3.0, the iWALKFree 3.0 Hands Free Crutch | IWALK FREE | |
| 6 | 00854344002639 | 7704 | 7704 | Crutches, Tall Adult, pairCrutch Height 53" - 61"Patient Height 5'10" - 6'6" | PremierPro | SVS LLC |
| 7 | 00854344002622 | 7703 | 7703 | Crutches, Adult, pairCrutch Height 45" - 53"Patient Height 5'2" - 5'10" | PremierPro | SVS LLC |
| 8 | 00854344002615 | 7702 | 7702 | Crutches, Youth, pairCrutch Height 37"-45"Patient Height 4'6" - 5'2" | PremierPro | SVS LLC |
| 9 | 00854344002608 | 7701 | 7701 | Crutches, Child, pairCrutch Height 31.5" - 37.5"Patient Height 4'0" - 4'6" | PremierPro | SVS LLC |
| 10 | 00849027000705 | HCS6004 | Crutches Aluminum, Child, Push Button, 1 pair | HCS | DYAD MEDICAL SOURCING, LLC | |
| 11 | 00849027000699 | HCS6003A | Crutches Aluminum, Youth, Push Button, 1 pair | HCS | DYAD MEDICAL SOURCING, LLC | |
| 12 | 00849027000682 | HCS6002A | Crutches Aluminum, Tall Adult, Push Button, 1 pair | HCS | DYAD MEDICAL SOURCING, LLC | |
| 13 | 00849027000675 | HCS6001A | Crutches Aluminum, Adult, Push Button, 1 pair | HCS | DYAD MEDICAL SOURCING, LLC | |
| 14 | 00840216102132 | CHT234 | ADJUSTABLE ALUMINUM CRUTCH, TALL ADULT, 1/PR,10/CS | ASP MEDICAL | ASP GLOBAL, LLC | |
| 15 | 00840216102125 | CHT233 | ADJUSTABLE ALUMINUM CRUTCH, YOUTH, 1/PR,10/CS | ASP MEDICAL | ASP GLOBAL, LLC | |
| 16 | 00840216102118 | CHT232 | ADJUSTABLE ALUMINUM CRUTCH, ADULT, 1/PR,10/CS | ASP MEDICAL | ASP GLOBAL, LLC | |
| 17 | 00822383990064 | 146-10403 | Canes & CrutchesForearm Product Description: Forearm Crutch, Adult, 1pr/bx | DRIVEMEDICAL | DRIVE DEVILBISS HEALTHCARE | |
| 18 | 00822383989853 | 146-RTL10395 | Canes & CrutchesAccessories Product Description: UniversalCrutch Access Kit 1Set/RTL,8/CS | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 19 | 00822383901251 | FC300-2GP | Wenzelite Pediatric Crutches Product Description Forearm Crutch, Large, Purple, Pair | Wenzellite | DRIVE DEVILBISS HEALTHCARE | |
| 20 | 00822383901244 | FC300-2GB | Wenzelite Pediatric Crutches Product Description Forearm Crutch, Large, Blue, Pair | Wenzellite | DRIVE DEVILBISS HEALTHCARE | |
| 21 | 00822383901237 | FC300-2GR | Wenzelite Pediatric Crutches Product Description Forearm Crutch, Large, Red, Pair | Wenzelite | DRIVE DEVILBISS HEALTHCARE | |
| 22 | 00822383901220 | FC200-2GP | Wenzelite Pediatric Crutches Product Description Forearm Crutch, Medium, Purple, Pair | Wenzellite | DRIVE DEVILBISS HEALTHCARE | |
| 23 | 00822383901213 | FC200-2GB | Wenzelite Pediatric Crutches Product Description Forearm Crutch, Medium, Blue, Pair | Wenzellite | DRIVE DEVILBISS HEALTHCARE | |
| 24 | 00822383901190 | FC100-2GP | Wenzelite Pediatric Crutches Product Description Forearm Crutch, Small, Purple, Pair | Wenzellite | DRIVE DEVILBISS HEALTHCARE | |
| 25 | 00822383901183 | FC100-2GB | Wenzelite Pediatric Crutches Product Description Forearm Crutch, Small, Blue, Pair | Wenzellite | DRIVE DEVILBISS HEALTHCARE | |
| 26 | 00822383901176 | FC100-2GR | Wenzelite Pediatric Crutches Product Description Forearm Crutch, Small, Red, Pair | Wenzelite | DRIVE DEVILBISS HEALTHCARE | |
| 27 | 00822383586502 | 10402-8PBL | Tall Crutches, 8 pr/cs | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 28 | 00822383586496 | 10401-8PBL | Youth Crutches, 8pr/cs | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 29 | 00822383586489 | 10400-8PBL | Adult Crutches, 8pr/cs | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 30 | 00822383529332 | NDC P501053 | PA CRUTCH TALL ADULT ALUMINUM,8 PRS/CV | drive | DRIVE DEVILBISS HEALTHCARE | |
| 31 | 00822383529325 | NDC P501037 | PA CRUTCH YOUTH ALUMINUM,8 PRS/CV | drive | DRIVE DEVILBISS HEALTHCARE | |
| 32 | 00822383529301 | NDC P501045 | PA CRUTCH ADULT ALUMINUM,8 PRS/CV | drive | DRIVE DEVILBISS HEALTHCARE | |
| 33 | 00822383301600 | 10405 | Forearm Crutch, Tall 1pr/bx | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 34 | 00822383284033 | RTL10395 | UniversalCrutch Access Kit 1Set/RTL,8/CS | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 35 | 00822383268415 | E-10402-8 | Canes & CrutchesCrutches Product Description: Enfermeras Crutch, Tall, 8pr/cs | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 36 | 00822383268408 | E-10401-8 | Canes & CrutchesCrutches Product Description: Enfermeras Crutch, Youth, 8pr/cs | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 37 | 00822383268392 | E-10400-8 | Canes & CrutchesCrutches Product Description: Enfermeras Crutch, Adult, 8pr/cs | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 38 | 00822383258966 | RTL10433 | Canes & CrutchesCrutches Product Description: Universal Quick Adjust Crutch,1PR,8/CS | DRIVEMEDICAL | DRIVE DEVILBISS HEALTHCARE | |
| 39 | 00822383254104 | RTL10400 | Crutch, Adult,1PR,8/CS | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 40 | 00822383254098 | RTL10402 | Crutch,Tall,1PR,8/CS | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 41 | 00822383254036 | RTL10306 | Cane, Offset, Black,1EA,6/CS | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 42 | 00822383251035 | 88-073000052514 | Don Joy Youth Crutch, 8pr/cs | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 43 | 00822383251028 | 88-073000051514 | Canes & CrutchesCrutches Product Description: Don Joy Adult Crutch, 8pr/cs | DRIVEMEDICAL | DRIVE DEVILBISS HEALTHCARE | |
| 44 | 00822383251011 | 88-073000050514 | Canes & CrutchesCrutches Product Description: Don Joy Tall Adult Crutch, 8pr/cs | DRIVEMEDICAL | DRIVE DEVILBISS HEALTHCARE | |
| 45 | 00822383246406 | RTL10453 | Crutch HandGrips,10400 Series,1PR,8/CS | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 46 | 00822383146942 | 10416-1 | Crutch,Alum.Pedi,1 pair | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 47 | 00822383146904 | 10404G | Forearm Crutch,Youth,w/OrthoGrip,1pr/bx | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 48 | 00822383138817 | 10403HD | ForearmCrutch,Bariatric,Adult,1/cs | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 49 | 00822383138190 | 10430-8 | EZ Adjust, AluminumCrutchesAdult,8/cs | Drive | DRIVE DEVILBISS HEALTHCARE | |
| 50 | 00822383126616 | 10401-1 | Crutch,Alum.Youth,1pr/bx | Drive | DRIVE DEVILBISS HEALTHCARE |