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EC Certificate - Full Quality Assurance System

Supplementary Information to CE 669121

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

First Issued: 2017-07-20 Date: 2020-03-24 Expiry Date: 2023-03-18

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

No. CE 669121

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

In respect of:

See certificate scope page.

on the basis of our examination of the quality assurance system under the requirements of Council Directive

93/42/EEC, Annex II excluding section 4. The quality assurance system meets the requirements of the directive. For the placing on the market of class III products an Annex II section 4 certificate is required.

For and on behalf of BSI, a Notified Body for the above Directive (Notified Body Number 2797):

Gary E Slack, Senior Vice President Medical Devices

First Issued: 2017-07-20 Date: 2020-03-24 Expiry Date: 2023-03-18

(2)

EC Certificate - Full Quality Assurance System

Supplementary Information to CE 669121

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

First Issued: 2017-07-20 Date: 2020-03-24 Expiry Date: 2023-03-18

The design, development and manufacture of:

• Sterile Disposable infusion kits including cassette, tubes, connectors, needles

• Patient warming units

• Blood and Fluid Warmers units

• Sterile Blood and Fluid Warmers disposables sets

• Sterile Central Implantable Access Systems

• Sterile Peripheral Implantable Access Systems

• Sterile and non-sterile vital sign monitoring probes

• Infusion Pumps for hospital and home use

• Infusion Application Software

• Sterile Needles and Introducer for Implantable Access

• Sterile Blood Sampling Devices

• Respiratory Therapy Devices and Positive airway pressure therapy systems

• Positive expiratory pressure therapy systems

• Sterile Catheter Connectors, Loss of Resistance Devices Syringes, Epidural Filters, Epidural Needles, Hypodermic Needles and Introducer Needles

•Sterile Spinal and combined spinal/epidural needles

•Sterile and non-sterile Breathing Systems and Circuits including - -Sterile and non-sterile Applications for patient Intubation - -Sterile Tracheostomy Tubes and Kits

- -Sterile and non-sterile Oxygen and Humidity Management Devices, - -Non-Sterile Resuscitation devices,

- -Non-Sterile Filtration Devices for Breathing Circuits, - -Sterile and non-Sterile tracheostomy accessories

• Sterile Disposable Pressure Monitoring tubes, connectors and transducers

• Sterile Drainage Devices

• Sterile Suction Catheters

• Sterile Vascular Access Devices

• Gas Powered Emergency and Transport Ventilators

• Gas Powered Emergency and Transport Resuscitators

• Sterile Temperature sensor containing Foley Catheters Certificate No: CE 669121

Certificate Scope:

First Issued: 2017-07-20 Date: 2020-03-24 Expiry Date: 2023-03-18

(3)

EC Certificate - Full Quality Assurance System

Supplementary Information to CE 669121

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

First Issued: 2017-07-20 Date: 2020-03-24 Expiry Date: 2023-03-18

NBOG code(s) Device description Intended purpose

Class III

NBOG code(s) Device (generic device name/group) Annex II 4 CE Certificate:

MD 0201 Port-a-Cath Implantable Access

Systems

See CE 669193

MD 0102 Cardiothoracic Catheters See CE 683526

MD 0101 Spinal Needles and combined

spinal/epidural needles

See CE 685113

Class IIb

NBOG code(s) Generic Device Group Intended purpose

MD 0101 Sterile Tracheostomy Tubes and kits create and controlled percutaneous dilational

tracheostomy for tracheal access for airway management

MD 0201 Sterile Peripheral Implantable Access Systems

indicated when patient therapy

requires repeated vascular access

for injection or infusion therapy

and/or venous blood sampling

(4)

EC Certificate - Full Quality Assurance System

Supplementary Information to CE 669121

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

First Issued: 2017-07-20 Date: 2020-03-24 Expiry Date: 2023-03-18

NBOG code(s) Device description Intended purpose

Class IIb

NBOG code(s) Device (generic device name/group) Annex II 4 CE Certificate:

MD 1302 sterile and non-sterile vital sign monitoring probes

Intended for continuous temperature monitoring

MD 1403 Patient warming units Intended to prevent and treat

hypothermia when temperature therapy is clinically indicated.

MD 1403 Blood and fluid warmers units Warming recirculating solution sealed in heat exchanger to warm I.V. fluid and/or blood products MD 1111 Infusion Application Software Provide medications libraries

which can be setup and stored on

hospital servers

(5)

EC Certificate - Full Quality Assurance System

Supplementary Information to CE 669121

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

First Issued: 2017-07-20 Date: 2020-03-24 Expiry Date: 2023-03-18

NBOG code(s) Device description Intended purpose

Class IIb

MD 1101 Infusion pumps for hospital and home

use

intended for therapies that require various type of rate and or bolus, and/or patient-clinician controlled demand doses

MD 1302 Sterile Temperature sensor containing Foley Catheters

---Intended for temperature monitoring in patients who are catheterized

MD 1102 Gas Powered Emergency and

Transport Ventilators

---intended for ventilation in emergency, intra & inter-hospital medical transport situations

MD 1102 Gas Powered Emergency and

Transport Resuscitators

---intended for resuscitation in

emergency, intra & inter-hospital

medical transport situations

(6)

EC Certificate - Full Quality Assurance System

Supplementary Information to CE 669121

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

First Issued: 2017-07-20 Date: 2020-03-24 Expiry Date: 2023-03-18

NBOG code(s) Device description Intended purpose

Class IIa

NBOG code(s) Device subcategory NA for class IIa devices

MD0101 Sterile Catheter Connectors, Loss of Resistance Devices Syringes, Epidural Filters Epidural Needles, Hypodermic Needles and Introducer Needles

NA

MD0102 Sterile Blood Sampling Devices NA

MD0101 Sterile Respiratory Therapy Devices and positive airway pressure therapy

NA

MD0101 Sterile Positive expiratory pressure therapy systems

NA

MD0101 Sterile and non-sterile Applications for Patient Intubation

NA

MD0101 Sterile and non-Sterile Breathing

Systems and circuits

NA

MD0101 Sterile Disposable Pressure Monitoring tubes, connectors and transducers

NA

MD0101 Sterile and Non-Sterile tracheostomy accessories

NA

(7)

EC Certificate - Full Quality Assurance System

Supplementary Information to CE 669121

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

First Issued: 2017-07-20 Date: 2020-03-24 Expiry Date: 2023-03-18

NBOG code(s) Device description Intended purpose

Class IIa

NBOG code(s) Device subcategory NA for class IIa devices

MD0101 Sterile Suction Catheters NA

MD0101 Sterile and non-sterile Oxygen and Humidity Management Devices

NA

MD0101 Non-Sterile Filtration Devices for

Breathing Circuits

NA

MD0101 Sterile Drainage Devices NA

MD0101 Non-Sterile Resuscitation NA

MD 1302 Sterile and non-sterile vital sign monitoring probes

NA

MD 0102 Sterile Needles and Introducer for Implantable Access System

NA

MD 0102 Sterile Blood and Fluid Warmers

disposables sets

NA

MD 0102 Sterile Disposable infusion kits

including cassette, tubes, connectors, needles

NA

(8)

B. Braun Medical Ltd Thorncliffe Park Sheffield S35 2PW United Kingdom

Manufacture

Becton Dickinson GmbH Tullastr. 8 - 12

Heidelberg 69126 Germany

Manufacture

Becton, Dickinson and Company BD Medical Surgical Systems 1 Becton Drive

Franklin Lakes, NJ 07417 USA

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(9)

Brightwake Limited Lowmoor Business Park, Kirkby in Ashfield, Nottinghamshire, NG17 7JZ, UK

Manufacture

GaleMed Corporation No. 87, Li-Gong 2nd Road Wu-Jia

I-Lan 268 Taiwan

Manufacture

GE Medical Systems Limited Pollards Wood

Nightingales Lane Chalfont

St Giles HP8 4SP United Kingdom

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(10)

HA2 Medizintechnik GmbH Tschaikowskistraße 2 38820 Halberstadt Germany

ETO Sterilization

Innovative Medical Manufacturing Company No.107

LN. 181, Sec. 1, Yongzhen Rd., Zhunan Township

Miaoli County 35057

Taiwan (R.O.C)

Manufacture

Isomedix Operations, Inc.

435 Whitney Street Northborough Massachusetts 01532

USA

ETO Sterilization

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(11)

Isomedix Operations, Inc.

23 Elizabeth Drive Chester

New York 10918 USA

Gamma Sterilization

Isomedix Operations, Inc.

7685 Saint Andrews Avenue San Diego

California 92154 USA

ETO Sterilization

Isomedix Operations, Inc.

380 90th Avenue NW Minneapolis

MN 55433 USA

ETO Sterilization

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(12)

Isomedix Operations, Inc.

43425 Business Park Drive Temeluca

California 92590 USA

ETO Sterilization

Kawasumi Laboratories (Thailand) Co., Ltd, Nava Nakorn Industrial Promotion Zone, 55/26 MU,13, Phahon Yothin Road, KM-46, Tambon Khlong Nueng Amphoe Khlong Luang, Changwat Pathum Thani 12120,

Thailand

Manufacture

Koo Medical Equipment (Shanghai) Co., Ltd.

100 Zhongde Road, Xiaokunshan Town, Songjiang,

Shanghai 201614,

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(13)

LISI Medical Remmele 441 93rd Avenue NW Coon Rapids

Minnesota 55443 USA

Manufacture

Martech Medical Products, Inc.

1500 Delp Drive Harleysville PA

19438

United State of America

Manufacture

Medisize CZ s.r.o.

Tovární 560

374 15 Trhové Sviny Czech Republic

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(14)

MicroMo Electronics Inc 14881 Evergreen Avenue Clearwater

FL 33762 USA

Manufacture

Minnetronix, Inc.

1635 Energy Park Drive St. Paul

MN 55108 USA

Design Manufacture

Nipro (Thailand) Corporation Limited 10/2 Moo 8

Bangnomko, Sena Phra Nakhon Si Ayutthaya 13110 Thailand

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(15)

Norautron Suzhou Co., Ltd.

Building #35,

#40 and #6 Dong Jing Industrial Square, SIP, Suzhou,

Jiangsu, China

Manufacture

OSI Optoelectronics, Inc.

12525 Chardon Avenue Hawthrone

CA 90250 USA

Manufacture

PAJUNK GmbH Medizintechnologie Karl-Hall-Strasse 1

78187 Geisingen Germany

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(16)

Pall Medical-A Division of Pall International Sarl Avenue de Tivoli 3

1700 Fribourg, Switzerland

Manufacture

Plastibell Mar-Lee USA 180 Authority Drive Fitchburg,

MA 01420

United State of America

Manufacture

Plexus Corp.

2444 Schultz Drive, Nennah,

WI 54956 USA

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(17)

Providence Enterprises Limited No. 5-4 Neihuan Road,

Shanxia Village, Pinghu,

Shenzhen, P.R. China

Manufacture

Siam Steri Services Co.,Ltd.

700/644 Amata Nakorn Industrial Estate Moo 3, Tambol bankao

Amphur Panthong Chonburi

20160 Thailand

ETO Sterilization Gamma Irradiation

Smiths Healthcare Manufacturing S.A. de C.V.

Avenida Calidad No. 4,

Industrial Internacional Tijuana, Tijuana,

B.C. C.P. 22425 Mexico

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(18)

Smiths Healthcare Manufacturing SA de CV Carretera Miguel Aleman Km 21.7,

Parque Industrial Monterrey, Apodaca NL

CP 66603 Mexico

Manufacture

Smiths Medical ASD Inc.

5700 West 23rd Avenue Gary

IN 46406 USA

Manufacture

Smiths Medical ASD, Inc 10 Bowman Drive Keene

New Hamphshire 03431

USA

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(19)

Smiths Medical ASD, Inc 6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Design Manufacture

Smiths Medical ASD, Inc.

201 West Queen Street, Southington,

CT, 06489 United States

Manufacture

Smiths Medical ASD, Inc.

6250 Shier Rings Road, Dublin,

OH, 43016, United States

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(20)

Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale

Minnesota 55128 USA

Manufacture

Smiths Medical Czech Republic a.s.

Olomoucká 306 753 01 Hranice Czech Republic

EU Representative Manufacture

Smiths Medical Deutschland GmbH Werdauer Strasse 51

D-08427 Fraureuth Germany

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(21)

Smiths Medical International Limited Bramingham Business Park,

Enterprise Way, Luton,

Beds, LU3 4BU, United Kingdom

Manufacture

Smiths Medical International Limited 1500 Eureka Park

Lower Pemberton Ashford

Kent TN25 4BF UK

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(22)

Smiths Medical International Ltd 52 Grayshill Road

Westfield Industrial Estate Cumbernauld

Glasgow G68 9HQ United Kingdom

Manufacture

Smiths Medical Italia S.r.l Via della Stazione 2 Latina Scalo Latina 04100 Italy

Packaging

Smiths Medical Nederland BV Smiths Medical

International Bijsterhuizen 22 - 08 6604 LD Wijchen,

The Netherlands

Final Inspection

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(23)

Smiths Medical North America 9124 Polk Lane

Olive Branch Mississipi 38654 USA

Final Inspection

Sovrin Plastics Ltd Stirling Road Slough Berkshire SL1 4ST

United Kingdom

Manufacture

Sterigenics Belgium (Petit-Rechain) SA Zoning Industriel de Petit-Rechain Avenue Andre Ernst 21

Verviers, Liege B-4800 Belgium

ETO Sterilization

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(24)

Sterigenics UK Ltd Cotes Park Lane Somercotes Alfreton, DE55 4NJ United Kingdom

ETO Sterilization

Sterigenics US, LLC

10811 Withers Cove Park Drive Charlotte

North Carolina 28278

USA

ETO Sterilization

Sterigenics US, LLC 1700 College Blvd West Memphis Arkansas 72301 USA

Gamma Sterilization

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(25)

Sterigenics US, LLC 344 Bonnie Circle Corona

California 92880 USA

Gamma Sterilization

Sterigenics US, LLC 84 Park Road Queensbury New York 12804 USA

ETO Sterilization

Sterilisation Services of Georgia 6005 Boatrock Blvd

Atlanta Georgia 30336 USA

ETO Sterilization

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(26)

Sterilization Services of Tennessee 2396 Florida Street

Memphis

Tennessee 38109 USA

ETO Sterilization

Tae-Chang Industrial Co., Ltd (Gongju Plant) 8-18, Bojeokdong-gil Useong-myeon, Gongju-si,

Chungcheongnam-do Korea

Manufacture

Teleflex Medical Wire Products, Inc.

Telefelx Medical OEM Division 6550 Wedgwood Road North Suite 300

Maple Grove Minnesota 55311 USA

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(27)

TOP Corporation 19-10 Senju Nakai-cho Adachi-ku, Tokyo 120-0035 Japan

Manufacture

UNISIS CORP.

Saitama Plant 2675-1 Nishikata Koshigaya-shi Saitama 343-0822 Japan

Manufacture

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(28)

UPG

Avenida La Cuspide #1 Parque Industrial Tecnomex Del. Playas de Tijuana Tijuana

Baja California 22700

Mexico

Manufacture

Velcro USA Inc.

95 Sundial Avenue, Manchester, New Hampshire 03103-7206 USA

Crucial Supplier

Xeridiem Medical Devices 4700 South Overland Drive Tucson,

AZ 85714-3430 USA

Manufacture Packaging

EC Certificate - Full Quality Assurance System

Directive 93/42/EEC on Medical Devices, Annex II excluding Section 4

List of Significant Subcontractors

Recognised as being involved in services relating to the product covered by:

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Subcontractor: Service(s) supplied

(29)

EC Certificate - Full Quality Assurance System Certificate History

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Date Reference

Number Action

20 July 2017 8691798 First issue, transferred from another notified body.

09 May 2018 8893340 Renewal, scope rewording, scope reduction, subcontractor removal, correction of subcontractor address and activities.

09 August 2018 9626931 Scope change: addition of Sterile and non sterile vital sign monitoring probes, Infusion Pumps for hospital use, Infusion Application Software, Sterile Needles and Introducer for Implantable Access.

09 October 2018 9653527 Scope extension for Infusion pumps for home use, addition of

“LVP Administration Sets” products, addition of subcontractor Kawasumi, Siam Steri Services and Synergy Health (Thailand).

Correction of subcontractor address and update of subcontractor name.

22 March 2019 8784109 Traceable to NB 0086.

21 June 2019 9630479 Addition of scope expressions:

Sterile Blood Sampling Devices, Sterile Respiratory Therapy

Devices and Positive airway pressure therapy systems, Sterile

Positive expiratory pressure therapy systems, Sterile Catheter

Connectors, Loss of Resistance Devices Syringes, Epidural

Filters, Epidural Needles, Hypodermic Needles and Introducer

Needles, Sterile Spinal and combined spinal/epidural needles

(30)

EC Certificate - Full Quality Assurance System Certificate History

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Date Reference

Number Action

including correct inject spinal needles Devices, Sterile and non- sterile Breathing Systems and Circuits including, -Sterile and non-sterile Applications for patient Intubation, -Sterile

Tracheostomy Tubes and Kits (-Sterile and non-sterile Oxygen and Humidity Management, - Non-Sterile Resuscitation devices, -Non-Sterile Filtration Devices for Breathing Circuits, -And Sterile and Non-Sterile tracheostomy accessories Sterile Disposable Pressure Monitoring tubes, connectors and transducers), Sterile Drainage Devices, Sterile Suction Catheters, Sterile

Cardiothoracic Catheters

Removal of scope expression:

Those aspects of Annex II concerned with securing and maintaining sterile conditions of convective warmers blankets.

Addition of subcontractors:

Smiths Medical ASD Keene, Dublin, Southington, Smiths Medical

North America Olive Branch, Smiths Medical Deutschland GmbH

Fraureuth, Smiths Medical International Cumbernauld, Smiths

Medical Nederland BV Bijsterhuizen, Smiths Medical Czech

Republic a.s. Hranice, Smiths Medical Italia S.r.l Latina, Smiths

Healthcare Manufacturing SA de CV Monterrey, Smiths Medical

ASD Inc, Gary, B. Braun Medical Ltd, Becton, Dickinson and

Compnay, BD Medical Surgical Systems, Becton, Dickinson

GmbH, Brightwake Ltd, Galemed Corporation, GE Medical, HA2

Medizintechnik GmbH, Innovative Medical Manufacturing

Company, Isomedix Operations, Inc. Northborough, Martech

(31)

EC Certificate - Full Quality Assurance System Certificate History

Certificate No: CE 669121

Date: 2020-03-24

Issued To: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Date Reference

Number Action

Medical Products, Inc., Medisize CZ s.r.o., Nipro (Thailand) Corporation Limited, PAJUNK GmbH Medizintechnologie , Pall Medical-A Division of Pall International Sàrl, Plastibell Mar-Lee USA, Sovrin Plastics Ltd, Sterigenics Belgium (Petit-Rechain) SA, Sterigenics UK Ltd Alfreton, Sterilization Services of Tennessee, Tae-Chang Industrial Co., Ltd, TOP Corporation, Unisis Corp, UPG, Velcro USA Inc., Xeridiem Medical Devices, MicroMo Electronics Inc, LISI Medical Remmele, Norautron Suzhou Co., Ltd., Plexus Corp. , Providence Enterprises Limited, OSI Optoelectronics, Inc., Smiths Medical International Limited (Luton). Removal of: Sterigenics US, LLC (Willowbrook, Ilinois), STERIS Applied Sterilization Technologie Formerly Synergy Health Applied Steriliz

Addition of the supplementary device table.

Current 3096113 Extension of scope to include Gas Powered Emergency and Transport Ventilators, Gas Powered Emergency and Transport Resuscitators and Sterile Temperature sensor containing Foley Catheters

Addition of subcontractor - Sterilization Services of Georgia

Update activity for existing subcontractor - addition of

packaging to Xeridiem Medical Devices.

(32)

Certificate of Registration

QUALITY MANAGEMENT SYSTEM - ISO 13485:2016 & EN ISO 13485:2016

This is to certify that: Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

Holds Certificate Number: MD 669191

and operates a Quality Management System which complies with the requirements of ISO 13485:2016 & EN ISO 13485:2016 for the following scope:

Please see scope page.

For and on behalf of BSI:

Stewart Brain, Head of Compliance & Risk - Medical Devices

Original Registration Date: 2017-08-16 Effective Date: 2019-07-30

Latest Revision Date: 2019-07-30 Expiry Date: 2022-04-19

Page: 1 of 6

(33)

The design, development and manufacturing of:

Sterile Disposable infusion kits including cassette, tubes, connectors, needles Sterile Blood and Fluid Warmers disposables sets

Sterile Central Implantable Access Systems Sterile Peripheral Implantable Access Systems Sterile and non-sterile vital sign monitoring probes Sterile Needles and Introducer for Implantable Access Sterile Catheters and accessories

Sterile Blood Sampling Devices

Sterile Respiratory Therapy Devices and positive airway pressure therapy Sterile Catheter Connectors,

Loss of Resistance Devices Syringes, Epidural Filters Epidural Needles,

Hypodermic Needles and Introducer Needles

Sterile Spinal and combined spinal/epidural needles including correct inject spinal needles Devices Sterile Positive expiratory pressure therapy systems

Sterile and non-sterile Breathing Systems and Circuits including -Sterile and non-sterile Applications for patient Intubation -Sterile Tracheostomy Tubes and Kits

-Sterile and non-sterile Oxygen and Humidity Management, -Non-Sterile Resuscitation,

-Non-Sterile filter,

-And Sterile and Non-Sterile tracheostomy accessories

Sterile Disposable Pressure Monitoring tubes, connectors and transducers Sterile Suction Catheters

Sterile Drainage Devices Sterile Feeding devices

Sterile Cardiothoracic Catheters Patient warming units

Blood and Fluid Warmers units

Infusion Pumps for hospital and home use Infusion Application Software

Sterile and non sterile convective warmers blankets and accessories Medical Gas Administration Accessories

Gas Powered Emergency and Transport Ventilators and Resuscitators Anesthetic Ventilators

Monitors and Related Equipment Non-Sterile Nebulizers

Certificate No: MD 669191

Registered Scope:

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Sterile Regional Anesthesia Devices

Sterile Needle safety devices and cough sampling devices and catheters securing devices and kit for applying local anesthesia

Interventional Imaging Devices Sterile Pain Management Devices

Document Control, Post Market Risk Management, Customer Complaints, Global Sourcing, Regulatory Affairs, Servicing, distribution.

Previous certificates expires on 20/04/2019.

Recertification audit ended 22/03/2019.

Certificate No: MD 669191

Registered Scope:

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Smiths Medical ASD Inc.

3350 Granada Avenue North Oakdale

Minnesota 55128 USA

The manufacture of:

Sterile Catheters and Accessories

Sterile and non sterile convective warmers blankets and accessories

Patient warming units

Sterile and non sterile vital sign monitoring probes Blood and Fluid Warmers units

Sterile Blood and Fluid Warmers disposables sets Infusion Application Software

Infusion Pumps for hospital and home use

Sterile Disposable infusion kits including cassette, tubes, connectors, needles

Medical Gas Administration Accessories Servicing, distribution

Certificate No: MD 669191

Location Registered Activities

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Smiths Medical ASD Inc.

6000 Nathan Lane North Minneapolis

Minnesota 55442 USA

The design, development and manufacturing of:

Sterile Disposable infusion kits including cassette, tubes, connectors, needles

Sterile Blood and Fluid Warmers disposables sets Sterile Central Implantable Access Systems Sterile Peripheral Implantable Access Systems Sterile and non-sterile vital sign monitoring probes Sterile Needles and Introducer for Implantable Access Sterile Catheters and accessories

Sterile Blood Sampling Devices

Sterile Respiratory Therapy Devices and positive airway pressure therapy

Sterile Catheter Connectors<(>,<)>

Loss of Resistance Devices Syringes, Epidural Filters Epidural Needles<(>,<)>

Hypodermic Needles and Introducer Needles

Sterile Spinal and combined spinal/epidural needles including correct inject spinal needles Devices

Sterile Positive expiratory pressure therapy systems Sterile and non-sterile Breathing Systems and Circuits including

-Sterile and non-sterile Applications for patient Intubation -Sterile Tracheostomy Tubes and Kits

-Sterile and non-sterile Oxygen and Humidity Management<(>,<)>

-Non-Sterile Resuscitation<(>,<)>

-Non-Sterile filter<(>,<)>

-And Sterile and Non-Sterile tracheostomy accessories Sterile Disposable Pressure Monitoring tubes, connectors and transducers

Sterile Suction Catheters Sterile Drainage Devices Sterile Feeding Devices Sterile Cardiothoracic Catheters Patient warming units

Blood and Fluid Warmers units

Infusion Pumps for hospital and home use Infusion Application Software

Sterile and non sterile convective warmers blankets and accessories

Medical Gas Administration Accessories

Gas Powered Emergency and Transport Ventilators and Resuscitators

Anesthetic Ventilators

Monitors and Related Equipment Non-Sterile Nebulizers

Certificate No: MD 669191

Location Registered Activities

(37)

Sterile Regional Anesthesia Devices

Sterile Needle safety devices and cough sampling devices and catheters securing devices and kit for applying local

anesthesia

Interventional Imaging Devices Sterile Pain Management Devices

Document Control, Post Market Risk Management, Customer Complaints, Global Sourcing, Regulatory Affairs, Servicing, distribution.

Certificate No: MD 669191

Location Registered Activities

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Riscaldatore di sangue e fluidi HOTLINE

®

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IL RISCALDATORE DI SANGUE E FLUIDI HOTLINE

®

HA IMPEDITO IL RAFFREDDAMENTO DELLA LINEA

PAZIENTE NEI TEST DI LABORATORIO,

PRESTAZIONI SUPERIORI PER LE VOSTRE ESIGENZE DI NORMOTERMIA

RISCALDATORE DI SANGUE E FLUIDI HOTLINE

®

– CONTRIBUISCE ALLA PREVENZIONE DELL’IPOTERMIA Anche una lieve ipotermia può esporre i pazienti in anestesia generale al rischio di complicanze potenzialmente gravi e catastrofiche, dalla guarigione ritardata delle ferite all’arresto cardiaco.

È per questo che gli ospedali usano i riscaldatori di sangue e fluidi HOTLINE

®

.

I riscaldatori di sangue e fluidi HOTLINE

®

aiutano a mantenere la normotermia e possono contribuire al minore affollamento nella sala di risveglio. I pazienti e l’ospedale potranno evitare complicanze non necessarie e toccare con mano i benefici economici che derivano dalla permanenza più breve in sala di risveglio.

I RISCALDATORI DI SANGUE E FLUIDI HOTLINE

®

PERMETTONO DI OTTENERE I RISULTATI AUSPICATI

• Prestazioni superiori che contribuiscono a mantenere la normotermia

• Possono ridurre i tempi di manutenzione per infermieri e tecnici

• Possono ridurre i costi per il vostro ospedale

AIUTANO A MANTENERE LA NORMOTERMIA

• La cannula brevettata a triplo lume mantiene uno strato di soluzione circolante a 42 °C attorno alla linea endovenosa

• Mantiene sangue e liquidi a una temperatura compresa tra 37 e 42 °C quando usato secondo le istruzioni

CONTRIBUISCE A RIDURRE I TEMPI DI MANUTENZIONE

• Il serbatoio del riscaldatore di sangue e fluidi HOTLINE

®

deve essere sottoposto a manutenzione solo una volta l’anno, mentre i riscaldatori con piastra termica richiedono manutenzione fino a 12 volte l’anno

• Mantiene un ambiente privo di microbi se utilizzato secondo le istruzioni per l’uso

CONTRIBUISCE A RIDURRE I COSTI

• La pulizia annuale può comportare minori costi di manutenzione se confrontata alla manutenzione mensile dei riscaldatori con piastra termica

• Richiede un minor volume di riempimento rispetto ai riscaldatori con piastra termica, comportando una minore diluizione di costosi farmaci

FACILE DA UTILIZZARE

• Configurazione più rapida rispetto agli altri riscaldatori presenti sul mercato

• Facile da collegare e scollegare dal paziente

UN ALTRO PROGRAMMA IMPORTANTE:

HEAT PER MIGLIORARE GLI ESITI DEI PAZIENTI

• Un programma basato su prove concrete progettato per ridurre l’incidenza dell’ipotermia accidentale

• Aiuta a soddisfare i requisiti di conformità dell’accreditamento

• Un’offerta gratuita per gli ospedali qualificati

HOTLINE

®

Ranger

®

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Riscaldamento di sangue e fluidi - HOTLINE

®

Infusioni normotermiche, fino a 4 litri l’ora.

L-70/L-70NI

Con la sua cannula brevettata a triplo lume, il riscaldatore di sangue e fluidi HOTLINE

®

può erogare fluidi normotermici ai pazienti

alle normali velocità di flusso. Lume interno per i fluidi infusi Configurazione dei prodotti monouso:

La linea del paziente deve essere orientata verso il fondo

Sullo schermo si visualizza la temperatura della soluzione di riscaldamento LED per allar- mi e avvisi

Drenare sul retro per svuotare il serbatoio

Pulsante ON/OFF

L-70NI

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Per ulteriori informazioni, consultare il sito web www.smiths-medical.com

LA SOLUZIONE SMITHS MEDICAL

Per il riscaldamento alle normali velocità di flusso, scegliete il marchio a cui si affida la maggior parte degli ospedali: il riscaldatore di sangue e fluidi HOTLINE

®

. Siamo un fornitore leader a livello globale di dispositivi medici per ospedali, pronto soccorso, ambienti domestici e servizi specialistici. I nostri prodotti vengono utilizzati per le cure critiche e in terapia intensiva, in fase operatoria e post-operatoria nelle sale di risveglio e in una serie di terapie di infusione di alto profilo per ambienti domestici.

Riscaldatori di sangue e fluidi HOTLINE

®

e relativi prodotti monouso

Codice prodotto Descrizione Unità per scatola

HL-90 Riscaldatore di sangue e fluidi HOTLINE

®

1

L-70 Set di riscaldamento per sangue e fluidi EV con port di iniezione 30 L-70 NI Set di riscaldamento per sangue e fluidi EV senza port di iniezione 30 L-80 Set di riscaldamento per sangue e fluidi EV con sfiato di gas L-10 30

PC-8 Connettore a T 40

YC-8 Connettore a Y 40

L-10 Sfiato di gas 40

INFORMAZIONI PER GLI ORDINI

Il riscaldatore di sangue e fluidi HOTLINE

®

consente di riscaldare i pazienti, caso dopo caso.

Offriamo un’ampia gamma

di prodotti monouso per il

riscaldatore di sangue e

fluidi HOTLINE

®

.

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Smiths Medical Italia S.r.l.

Sede legale e direzione generale Via della Stazione, 2

04100 Latina Scalo (LT), Italia Tel.: +39.0773.4084.1 Fax +39.0773.4084.804

Uffici comm.li e Servizio Clienti Via della Stazione,2

04100 Latina Scalo (LT), Italia Tel.: +39 0773.4084.350 Fax ordini: +39 02.36047409

Fax informazioni: +39 0773.4084.360

Spett.le

IRCCS – CROB

Istituto di Cura a Carattere Scientifico –

Centro di Riferimento Oncologico della Basilicata Rionero in Vulture (PZ)

Via Padre Pio, 1

85028 - Rionero in Vulture (PZ)

Latina Scalo, 22 Luglio 2020

OGGETTO: “GARA A PROCEDURA NEGOZIATA SUL MEPA PER LA FORNITURA DI DISPOSITIVI MEDICI NECESSARI ALLA U.O. DI ANESTESIA, RIANIMAZIONE E TERAPIA INTENSIVA PER LA DURATA DI UN ANNO – RDO MEPA NR.: 2603590”

DOCUMENTAZIONE TECNICA Spett.le Ente,

Il sottoscritto ALBERTO VALENTI NIN, nato a Barcellona (Spagna) il 10 Dicembre 1957, Domiciliato per la carica presso la sede legale della Smiths Medical Italia S.r.l., a Latina Scalo (LT), Via della Stazione, 2. - - Codice Fiscale VLN LRT 57T10 Z131N, nella sua qualità di CONSIGLIERE di SMITHS MEDICAL ITALIA S.r.l, con sede legale e sociale in Latina Scalo (LT), via della Stazione n. 2, iscritta al Registro delle Imprese c/o la C.C.I.A.A. di Latina, numero di iscrizione, codice fiscale e partita I.V.A. n. 02154270595, R.E.A.

n. 149995, dipendente dall’Ufficio delle Imposte Dirette – Agenzia delle Entrate – Ufficio di Latina, Viale Le Corbusier angolo Via Amerigo Vespucci s.n.c., 04100 LATINA, Capitale Sociale Euro 1.100.000,00 interamente versato, consapevole delle responsabilità che assume e delle sanzioni stabilite dalla Legge nei confronti di chi attesta il falso nelle dichiarazioni sostitutive rese ai sensi del d.P.R. n. 445 del 2000, in riferimento all’oggetto,

DICHIARA:

di allegare alla presente la documentazione tecnica relativa ai prodotti offerti e che la stessa è una copia conforme all’originale.

La presente dichiarazione viene rilasciata ai sensi D.P.R. n. 445/2000.

In fede

SMITHS MEDICAL ITALIA S.R.L.

(43)

Smiths Medical Italia S.r.l.

Sede legale e direzione generale Via della Stazione, 2

04100 Latina Scalo (LT), Italia Tel.: +39.0773.4084.1 Fax +39.0773.4084.804

Uffici comm.li e Servizio Clienti Via della Stazione,2

04100 Latina Scalo (LT), Italia Tel.: +39 0773.4084.350 Fax ordini: +39 02.36047409

Fax informazioni: +39 0773.4084.360

(44)

smLths med Lcal Declaration of Conformity

bringing technology to life

S1108: Level 1 Hotline Routine Warmers

Legal Manufacturer:

EU Representative:

Product Tradename(s):

Conformity Assessment Route:

Notified Body:

EC Certificate Number:

and Administration Sets Smiths Medical ASD, Inc., 6000 Nathan Lane N,

Minneapolis, MN 55442 USA Smiths Medical Czech Republic a.s.

Olomoucka 306, Hranice 1 - Mesto,

753 01 Hranice, Czech Republic HOTLINE® fluid warmer

Annex II (excluding Section 4) BSI Healthcare

Medical Devices Certification Notified Body #2797

CE 669121

DoC-090

Revision Number: 108

Smiths Medical ASD, Inc. hereby declares under its sole responsibility that the product(s) referenced conform to the relevant provisions of the European Union Council Directive 93/42/EEC on Medical Devices (the MOD) as amended by Directive 2007/47/EC.

Authorized Signatory:

Signature: ~ ~

Name: Stacy Novak

Title: Director, Regulatory Operations

Location of Signatory: Minneapolis, MN, USA

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Declaration of Conformity DoC-090

Revision Number: 108 S1108: Level 1 Hotline Routine Warmers

and Administration Sets Appendix 1: Product List

Num Catalog Number Product Description Manufacturing Site GMDN

Code

EU Risk Class

EU Rule

1. L-10 GAS VENT Smiths Healthcare Manufacturing S.A.

de C.V.

Avenida Calidad No. 4, Industrial Internacional Tijuana, Tijuana B.C. C.P.

22425 Mexico

35072 IIa 2

2. YC-8 Y-CONN EXTENSION TUBING Smiths Healthcare Manufacturing S.A.

de C.V.

Avenida Calidad No. 4, Industrial Internacional Tijuana, Tijuana B.C. C.P.

22425 Mexico

18067 IIa 2

3. PC-8 T-CONN EXTENSION TUBING Smiths Healthcare Manufacturing S.A.

de C.V.

Avenida Calidad No. 4, Industrial Internacional Tijuana, Tijuana B.C. C.P.

22425 Mexico

18067 IIa 2

4. L-70 HOTLINE WARMING SET-DISP Smiths Healthcare Manufacturing S.A.

de C.V.

Avenida Calidad No. 4, Industrial Internacional Tijuana, Tijuana B.C. C.P.

22425 Mexico

41609 IIa 2

5. L-70NI HOTLN BLD IV NO INJEC SET Smiths Healthcare Manufacturing S.A.

de C.V.

Avenida Calidad No. 4, Industrial Internacional Tijuana, Tijuana B.C. C.P.

22425 Mexico

41609 IIa 2

6. HL-90-INT-230 230V CONTINENTAL EUROPE HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale, Minnesota 55128 USA

47620 IIb 9

smtths medtcal

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Declaration of Conformity DoC-090

Revision Number: 108 S1108: Level 1 Hotline Routine Warmers

and Administration Sets

Num Catalog Number Product Description Manufacturing Site GMDN

Code

EU Risk Class

EU Rule

9. HL-90-EL-230 230V GREEK HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale, Minnesota 55128 USA

47620 IIb 9

10. HL-90-FI-230 230V FINNISH HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale, Minnesota 55128 USA

47620 IIb 9

11. HL-90-FR-230 230V FRENCH HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale, Minnesota 55128 USA

47620 IIb 9

12. HL-90-IT-230 230V ITALIAN HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale, Minnesota 55128 USA

47620 IIb 9

13. HL-90-NL-230 230V DUTCH HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale, Minnesota 55128 USA

47620 IIb 9

14. HL-90-NO-230 230V NORWEGIAN HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale, Minnesota 55128 USA

47620 IIb 9

15. HL-90-PORT-230 230V PORTUGESE HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale, Minnesota 55128 USA

47620 IIb 9

16. HL-90-SP-230 230V SPANISH HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale, Minnesota 55128 USA

47620 IIb 9

17. HL-90-SV-230 230V SWEDISH HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North Oakdale, Minnesota 55128 USA

47620 IIb 9

18. HL-90-UK-230 230V UK HOTLINE Smiths Medical ASD, Inc.

3350 Granada Avenue North 47620 IIb 9

smtths medtcal

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Declaration of Conformity DoC-090

Revision Number: 108 S1108: Level 1 Hotline Routine Warmers

and Administration Sets

Appendix 2: Revision History

Revision Number Summary of Changes / Additions Created / Revised by Date 03 Updated to new template, updated EC cert information Lisa Hahne 15-DEC-2016 004 Change document number format from SXXX to DoC-XXX to

load documents into Agile. No updates made to content of this document with the exception of the document number from S1108 to DoC-090 and revision from 03 to 004 and added STED # to header for traceability to STED. The purpose of this revision update was in response to Notified Body Transfer. The Changes to this DoC include: Notified Body name from Intertek to BSI, updated the EU representative address, updated to new certificate number from 058 05 CE to CE66912, changed the effective date and renamed the SKU from HL-90-PT-230 to HL-90-PORT-230

Manasa Boppana 14-SEP-2017

105 This revision is to capture the reissuance of the Minneapolis Legal Manufacturer BSI EC Certificate for EC certificates 669121 and 669193.

Mitchell Madsen 09-MAY-2018

106 Correct GMDN codes for L-70 and L-70NI that were corrupted in rev 105

Ken Meyer 16-MAY-2018

107 -Updated the DoC to the latest template in Agile from Rev 003 to 105.

-Updated the STED Name on the DoC from Slow Flow Infusion Sets and Warmers to Level 1 Hotline Routine Warmers and Administration Sets

-Changed the EU Representative from the Ashford, UK facility to the Hranice, Czech Republic facility. An EU Representative is needed if a product is commercially distributed in the EU and not manufactured in the EU. Since Ashford will no longer

Mitchell Madsen 26-SEP-2019

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Declaration of Conformity DoC-090

Revision Number: 108 S1108: Level 1 Hotline Routine Warmers

and Administration Sets

Revision Number Summary of Changes / Additions Created / Revised by Date -Updated the Product Descriptions of the Catalog Numbers in

Appendix 1 to match their Descriptions in Agile

-Updated the Oakdale address in the Manufacturing Site column in Appendix 1 to match EC Certificate 669121 -Updated the Tijuana address in the Manufacturing Site column in Appendix 1 to match EC Certificate 669121

108 Changed the EU Risk Class for the following SKUs from Class IIa to Class IIb as S1108 correctly classifies the SKUs as IIb:

HL-90-DA-230, HL-90-DE-230, HL-90-EL-230, HL-90-FI-230, HL-90-FR-230, HL-90-INT-230, HL-90-IT-230, HL-90-NL-230.

HL-90-NO-230, HL-90-PORT-230, HL-90-SP-230, HL-90-SV- 230 and HL-90-UK-230.

Alicia Wilson 25-NOV-2019

smtths medtcal

bringing technology to life

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WORK INSTRUCTION

FM-DVSOP2002-01 Rev. 001 Eff. Date: 25-OCT-2016 CO No.: CO-10029546

Doc. Number Revision

WI Type: ARTWORK SPECIFICATION Effective Date: Page 1 of

Title:

DOCUMENT VERIFICATION

Prior to using this document, the user is responsible for verifying that the revision and effective date are current.

REVISION HISTORY

Owning Site: MMSP Additional Sites Using Document:

Rev. Effective Date Change Order No. Changes Made to Document

ARTWORK DESIGN NOTES

Labeling Content Approval and Specification Approval in Agile per DVDP8500.

Label Stock Printer & Resolution

Print Method Dimensions - Metric

Label Software Dimensions - Imperial

Barcode Format Binding

Color(s) Printed Variable Information

Author/Date

OTHER DESIGN NOTES

AS10012338-002 100

02-Jun-2019 3

IFU, L-70 M

MTIJ

100 02-Jun-2019 CO-10075877 See OTHER DESIGN NOTES. Replaces 10012338-001

N/A N/A

N/A N/A

N/A N/A

N/A N/A

N/A N/A

Lori Tews 20MAR2019

Languages Included:

English; French; German; Italian;

Spanish; Portuguese; Dutch;

Swedish; Danish; Norwegian;

Finnish; Greek

Updates to Document:

• Updated to CE 2797

• New Agile part number

• Updated EC REP address

• Updated copyright dates per FM-DVSOP8005-06, Legal Labeling Policy

Riferimenti

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please contact your dealer or the Manitou North America Parts Department for the latest information and parts availability..

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Altra soluzione assicurativa tipica dei contratti relativi alla responsabilità dei medici è il secondo rischio rispetto alla polizza della struttura sanitaria nei casi in cui,