AccessGUDID - DEVICE: Axiom (00840363365909)

GUDID

Device Identifier (DI) Information

Brand Name: Axiom
Version or Model: Lateral Trunk Supports
Commercial Distribution Status: In Commercial Distribution
Catalog Number: PLLF4X5PL
Company Name: KI MOBILITY, LLC

Primary DI Number: 00840363365909
Issuing Agency: GS1
Commercial Distribution End Date:
Device Count: 1
Labeler D-U-N-S® Number*: 609305656 *Terms of Use

Device Description: 4 x 5 Lateral Pads with Fixed Mounting Hardware - Left

Device Characteristics

What MRI safety information does the labeling contain?	Labeling does not contain MRI Safety Information
Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801.437):	No
Device labeled as "Not made with natural rubber latex":	No
For Single-Use:	No
Prescription Use (Rx):	No
Over the Counter (OTC):	Yes
Kit:	No
Combination Product:	No
Human Cell, Tissue or Cellular or Tissue-Based Product (HCT/P):	No

GMDN

[?]

GMDN Term Code	GMDN Term Name	GMDN Term Definition	GMDN Term Status [?]	Implantable?
37744	Wheelchair bracket/mount	A device designed to be attached to a wheelchair to mount a portable accessory (e.g., holder, bag) [not included], as part of wheelchair adaption/customization. It may be in the form of e.g., a rack, adaptor, or clamp.	Active	false

FDA Product Code

[?]

Product Code	Product Code Name
KNO	ACCESSORIES, WHEELCHAIR

FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
Premarket Submission Number Not Available/Not Released

Device Exempt from Premarket Submission: Yes CLOSE

Sterilization

Device Packaged as Sterile: No
Requires Sterilization Prior to Use: No

Sterilization Method [?]
No Sterilization Methods Found

Storage and Handling

[?]

Storage and Handling
No storage/handling found

Clinically Relevant Size

[?]

Size Type Text
Device Size Text, specify: 10"

Device Record Status

Public Device Record Key: 9fc0f1d2-0e6f-4ebc-9b6e-db8d540e9e93
Public Version Date: March 18, 2025
Public Version Number: 3
DI Record Publish Date: January 02, 2024

Alternative and Additional Identifiers Additional Identifiers

Package DI

[?]

Package DI Number	Quantity per Package	Contains DI Package	Package Discontinue Date	Package Status	Package Type
No Package DIs found

Secondary DI

[?]

Issuing Agency [?]	Secondary DI Number
No Secondary DIs found

Unit of Use DI

[?]

Unit of Use DI Number: No Unit of Use DI Numbers Found CLOSE

Direct Marking (DM)

[?]

Device Subject to Direct Marking (DM), but Excepted: No
DM DI Different from Primary DI: No
DM DI Number: None
CLOSE

Production Identifier(s) in UDI

[?]

Lot or Batch Number: No
Serial Number: No
Expiration Date: No
Manufacturing Date: Yes
Donation Identification Number: No CLOSE

Customer Contact

[?]

Phone: +1(800)981-1540
Email: sales@kimobility.com

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