| No | Primary DI | Version or Model | Catalog Number | Device Description | Product Code | Product Code Name | Device Class | Brand Name |
|---|---|---|---|---|---|---|---|---|
| 1 | 04713025000141 | 9S-007100 | iCH Prime | BZD | Ventilator, Non-Continuous (Respirator) | APEX | ||
| 2 | 04713025000127 | 9S-007001 | iCH Sense | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 3 | 04713025002565 | 8" Mattress | 8" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 4 | 04713025002497 | 5" One Piece Pad | 5" One Piece Pad | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 5 | 04713025000158 | 9S-007000 | iCH Sense | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 6 | 04713025000110 | 9S-007101 | iCH Prime | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 7 | 04713025004378 | 9P-087000 | Serene Elite Pump | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 8 | 04713025002664 | 9P-079000 | Serene Pump,Serene Bariatric Pump | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 9 | 04713025002572 | Domus 4 with 8" Mattress | Domus 4 with 8" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | APEX | ||
| 10 | 04716872506873 | SF00001 | CPAP tubing | BZO | Set, Tubing And Support, Ventilator (W Harness) | 1 | APEX | |
| 11 | 04713025003845 | 3.5" Cushion | 3.5" Cushion | FNM | Mattress, Air Flotation, Alternating Pressure | APEX | ||
| 12 | 04713025003364 | 8"+2" Mattress | 8"+2" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 13 | 04713025003159 | 9P-048540 | Combo 100 Plus with 4" Cushion | FNM | Mattress, Air Flotation, Alternating Pressure | APEX | ||
| 14 | 04713025003142 | 9P-048540 | Combo 100 Plus Pump | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 15 | 04713025003135 | Sedens 500 Dynamics with 4" Cushion | Sedens 500 Dynamics with 4" Cushion | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 16 | 04713025003128 | 4" Cushion | 4" Cushion | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 17 | 04713025003111 | 9P-048560 | Sedens 500 Dynamics Pump | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 18 | 04713025003104 | 9P-047000 | Domus 2s Pump | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 19 | 04713025002800 | Serene with 8"+2" Mattress | Serene with 8"+2" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 20 | 04713025002725 | 8"+2" Mattress | 8"+2" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 21 | 04713025005948 | Verso Pump and Mattress | Verso Pump and Mattress | FMW | Cover, Mattress (Medical Purposes) | 1 | APEX | |
| 22 | 04713025005610 | Pro-care Optima Prone Pump and Mattress | Pro-care Optima Prone Pump and Mattress | FMW | Cover, Mattress (Medical Purposes) | 1 | APEX | |
| 23 | 04713025004385 | Serene Elite with 8" Mattress | Serene Elite with 8" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 24 | 04713025004361 | Serene Bariatric with 8"+2" Mattress | Serene Bariatric with 8"+2" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 25 | 04713025004354 | Domus 3 with 5"+3" Mattress | Domus 3 with 5"+3" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 26 | 04713025004347 | 5"+3" Mattress | 5"+3" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 27 | 04713025004330 | Domus 3 with 8" Mattress | Domus 3 with 8" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 28 | 04713025002480 | Domus 2s with 5" One Piece Pad | Domus 2s with 5" One Piece Pad | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 29 | 04713025002473 | Domus Auto with 8" Mattress | Domus Auto with 8" Mattress | FNM | Mattress, Air Flotation, Alternating Pressure | APEX | ||
| 30 | 04713025002435 | 9P-077520 | 9P-077520 Domus Auto | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 31 | 04713025002428 | 8"*90cm | FM668005_8"*90cm | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 32 | 04713025002404 | 9P-077000 | 9P-077000 Domus 4 | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 33 | 04713025002213 | 9P-074000 | Domus 3 Pump | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 34 | 04713025002053 | Domus 1 with 2.5" Bubble Pad | Domus 1 with 2.5" Bubble Pad | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 35 | 04713025002046 | 9P-047000 | Domus 1 Pump | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 36 | 04713025002022 | 2.5" Bubble Pad | 2.5" Bubble Pad | FNM | Mattress, Air Flotation, Alternating Pressure | 2 | APEX | |
| 37 | 04713025001872 | WiZARD 510 M size | WIZARD 510 Nasal Mask is intended to provide an interface for Continuous Positiv WIZARD 510 Nasal Mask is intended to provide an interface for Continuous Positive Airway Pressure (CPAP) or bi-level therapy. The nasal mask is intended for single-patient reuse in the home and multi-patient, multi-use in the hospital environment. The nasal mask is to be used on patients greater than 30 kg for whom positive airway pressure (CPAP or bi-level system) has been prescribed. | BZD | Ventilator, Non-Continuous (Respirator) | APEX | ||
| 38 | 04713025001865 | WiZARD 510 L size | WIZARD 510 Nasal Mask is intended to provide an interface for Continuous Positiv WIZARD 510 Nasal Mask is intended to provide an interface for Continuous Positive Airway Pressure (CPAP) or bi-level therapy. The nasal mask is intended for single-patient reuse in the home and multi-patient, multi-use in the hospital environment. The nasal mask is to be used on patients greater than 30 kg for whom positive airway pressure (CPAP or bi-level system) has been prescribed. | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 39 | 04713025000813 | WiZARD 320 / SM08003 | Full Face Mask with Headgear (S size) | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 40 | 04713025000806 | WiZARD 320 / SM08002 | Full Face Mask with Headgear (M size) | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 41 | 04713025000790 | WiZARD 320 / SM08001 | Full Face Mask with Headgear (L size) | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 42 | 04713025000783 | WiZARD 310 / SM07003 | Nasal Mask with Headgear (S size) | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 43 | 04713025000776 | WiZARD 310 / SM07002 | Nasal Mask with Headgear (M size) | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 44 | 04713025000769 | WiZARD 310 / SM07001 | Nasal Mask with Headgear (L size) | BZD | Ventilator, Non-Continuous (Respirator) | APEX | ||
| 45 | 04713025000752 | WiZARD 210 | Nasal Mask Fitting Kit (XS,S,M,L) | BZD | Ventilator, Non-Continuous (Respirator) | APEX | ||
| 46 | 04713025000745 | WiZARD 220 | Full Face Fitting Kits (SW,MW,LW) | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 47 | 04713025000134 | 9S-007200 | iCH Auto | BZD | Ventilator, Non-Continuous (Respirator) | APEX | ||
| 48 | 04713025000738 | WiZARD 220 | Full Face Fitting Kit (S,M,L) | BZD | Ventilator, Non-Continuous (Respirator) | APEX | ||
| 49 | 04713025000721 | WiZARD 220 | Full Face Mask w/o Headgear (LW) | BZD | Ventilator, Non-Continuous (Respirator) | 2 | APEX | |
| 50 | 04713025000714 | WiZARD 220 | Full Face Mask w/o Headgear (MW) | BZD | Ventilator, Non-Continuous (Respirator) | APEX |
| No | Primary DI | Version or Model | Catalog Number | Device Description | Brand Name | Organization Name |
|---|---|---|---|---|---|---|
| 1 | 10351688517050 | 114120 | Portex | SMITHS MEDICAL ASD, INC. | ||
| 2 | 10351688517043 | 1141 | Portex | SMITHS MEDICAL ASD, INC. | ||
| 3 | 10351688517036 | 1140 | Portex | SMITHS MEDICAL ASD, INC. | ||
| 4 | 10351688517029 | 1131 | Portex | SMITHS MEDICAL ASD, INC. | ||
| 5 | 10190752144798 | 002002 | 002002 | AirLife™ Nebulizer with Air Entrainment | AirLife™ | VYAIRE MEDICAL, INC. |
| 6 | 10190752141643 | 002620 | 002620 | Sterile Water for Inhalation, USP, 500 ml | AirLife™ | VYAIRE MEDICAL, INC. |
| 7 | 10190752115200 | 002003 | 002003 | AirLife™ Bubble Humidifier With 3 psi Pressure Relief Valve | AirLife™ | VYAIRE MEDICAL, INC. |
| 8 | 10190752114791 | 002006 | 002006 | AirLife™ Bubble Humidifier With 6 psi Pressure Relief Valve | AirLife™ | VYAIRE MEDICAL, INC. |
| 9 | 10190752102484 | PT101USR | PT101USR | N/A | N/A | CAREFUSION CORPORATION |
| 10 | 10190752102477 | MR850R | MR850R | N/A | N/A | CAREFUSION CORPORATION |
| 11 | 10190752102460 | MR850CUR | MR850CUR | N/A | N/A | CAREFUSION CORPORATION |
| 12 | 09420012471826 | AA001JL | AA001JL | Optiflow Filtered Nasal Interface Large | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 13 | 09420012471703 | AA030JL | AA030JL | Optiflow Nasal Interface with CO2 Sampling Large | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 14 | 09420012471680 | AA030JM | AA030JM | Optiflow Nasal Interface with CO2 Sampling Medium | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 15 | 09420012471666 | AA030JS | AA030JS | Optiflow Nasal Interface with CO2 Sampling Small | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 16 | 09420012471642 | AA000JL | AA000JL | Optiflow Nasal Interface Large | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 17 | 09420012471628 | AA000JM | AA000JM | Optiflow Nasal Interface Medium | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 18 | 09420012471604 | AA000JS | AA000JS | Optiflow Nasal Interface Small | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 19 | 09420012471000 | AA001JM | AA001JM | Optiflow Filtered Nasal Interface Medium | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 20 | 09420012470980 | AA001JS | AA001JS | Optiflow Filtered Nasal Interface Small | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 21 | 09420012470966 | AA031JL | AA031JL | Optiflow Nasal Filtered Interface with CO2 Sampling Large | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 22 | 09420012470942 | AA031JM | AA031JM | Optiflow Nasal Filtered Interface with CO2 Sampling Medium | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 23 | 09420012470928 | AA031JS | AA031JS | Optiflow Nasal Filtered Interface with CO2 Sampling Small | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 24 | 09420012470232 | MYAIRSPIRAL | MYAIRSPIRAL | AirSpiral Tube myAIRVO | Fisher and Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 25 | 09420012470140 | MYOPT9MASK | MYOPT9MASK | Optiflow+ Mask Interface myAIRVO2-pack | Fisher and Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 26 | 09420012470126 | MYOPT9TRACHE | MYOPT9TRACHE | Optiflow+ Tracheostomy Interface myAIRVO2-pack | Fisher and Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 27 | 09420012469700 | MYOPT9LARGE | MYOPT9LARGE | Optiflow+ Nasal Cannula Large myAIRVO2-pack | Fisher and Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 28 | 09420012469687 | MYOPT9MEDIUM | MYOPT9MEDIUM | Optiflow+ Nasal Cannula Medium myAIRVO2-Pack | Fisher and Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 29 | 09420012469663 | MYOPT9SMALL | MYOPT9SMALL | Optiflow+ Nasal Cannula Small myAIRVO2-Pack | Fisher and Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 30 | 09420012469021 | 850A61J | 850A61J | F&P 850 AirSpira Adult NIV and NHF circuit kit | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 31 | 09420012466716 | MR850AKR | MR850AKR | Humidifier MR850 220V EN / KO KC | Fisher and Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 32 | 09420012463753 | MYAIRVOKIT1 | MYAIRVOKIT1 | AirSpiral Tube and Chamber Kit myAIRVO | Fisher and Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 33 | 09420012455819 | RT239 | RT239 | Bi-Level/ CPAP Circuit Kit With Heated Limb, Extension, MR290 Chamber | FISHER & PAYKEL HEALTHCARE | FISHER & PAYKEL HEALTHCARE LIMITED |
| 34 | 09420012453327 | OJR520 | OJR520 | Optiflow Junior 2+ Cannula XXL | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 35 | 09420012448743 | VIT1MMA | VIT1MMA | F&P Vitera Full Face Mask - Medium/ Medium A For Bi-level ventilation | FISHER & PAYKEL HEALTHCARE | FISHER & PAYKEL HEALTHCARE LIMITED |
| 36 | 09420012448712 | AA400SUM | AA400SUM | Optiflow Thrive Oxygen Kit Medium | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 37 | 09420012448538 | VIT1LSL | VIT1LSL | F&P Vitera Full Face Mask - Large SL For Bi-level ventilation | FISHER & PAYKEL HEALTHCARE | FISHER & PAYKEL HEALTHCARE LIMITED |
| 38 | 09420012448460 | VIT1LA | VIT1LA | F&P Vitera Full Face Mask - Large A For Bi-level ventilation | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 39 | 09420012448453 | VIT1MA | VIT1MA | F&P Vitera Full Face Mask - Medium A For Bi-level ventilation | FISHER & PAYKEL HEALTHCARE | FISHER & PAYKEL HEALTHCARE LIMITED |
| 40 | 09420012448361 | VIT1LLA | VIT1LLA | F&P Vitera Full Face Mask - Large/ Large A For Bi-level ventilation | FISHER & PAYKERL HEALTHCARE | FISHER & PAYKEL HEALTHCARE LIMITED |
| 41 | 09420012448279 | AA000L | AA000L | Optiflow Nasal Interface Large | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 42 | 09420012448262 | AA000M | AA000M | Optiflow Nasal Interface Medium | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 43 | 09420012448255 | AA000S | AA000S | Optiflow Nasal Interface Small | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 44 | 09420012448248 | AA400SUL | AA400SUL | Optiflow Thrive Oxygen Kit Large | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 45 | 09420012448231 | AA400SUS | AA400SUS | Optiflow Thrive Oxygen Kit Small | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 46 | 09420012448200 | VIT1MLSL | VIT1MLSL | F&P Vitera Full Face Mask - Medium/ Large SL For Bi-level ventilation | FISHER & PAYKEL HEALTHCARE | FISHER & PAYKEL HEALTHCARE LIMITED |
| 47 | 09420012436948 | OPT980E | OPT980E | Optiflow Mask Interface Adapter (Single) | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 48 | 09420012436931 | OPT980 | OPT980 | Optiflow Mask Interface Adapter | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 49 | 09420012436924 | OPT970E | OPT970E | Optiflow Tracheostomy Direct Connection (Single) | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |
| 50 | 09420012436917 | OPT970 | OPT970 | Optiflow Tracheostomy Direct Connection | Fisher & Paykel Healthcare | FISHER & PAYKEL HEALTHCARE LIMITED |