2 NEURVANA MEDICAL ivan Supplier: Supplier LIN P.O. No. Lake Regio F04810 ‘Supplier P/ Neurvana Medical | Description Qty Rec'd 100171 100171 RO Marker Band 1000 Production Materials O R&D or Prototype Materials gZ Received By: Date: Inspection Priority Yazmin Campos |onn7 rN ‘Neurvana Medi FO4810 ‘Neurvana Medical Inc. Insp.: Q Sub-contractor Inspection* Q ‘Note: All materials will be transferred to the sub-contractor for completion of incoming inspection requirements. Refer to the associated part number drawing and revision for inspection requirements and sample plan. Note any additional inspection requirements below as necessary: | Part Number/Rev. Qy. Qty. Passed | Qty. Failed/NCR No. | Qty. Approved Inspected | Inspected by: Date: FRM0022 Rev. ALUtgo eopEUiUOIBaoeI@Asias Apuey ‘AIS: yohoRWEE. onyeWEserdsx SUERTE veUIOISND Weuoo eseeid ‘uoReUHO}U, ‘axbqe ou Jo Aue yam wowoasBe U1 30U ate nok y -WaW!dIYs sNOK Jo UOREULYyUOD Se SIA Bsn BsEOId “JOPI0 INK 10} NOK EU ‘painjoauoo oq Aew a UL “ALON val 0001 :AtD 107 ObBvOS ¢ #307 be gour 2610-0d : #0d NO ‘3ENL UI%OKLd | 206092 :0N weit eaIpEW VOI OE] | GNVa WAV OU HONS 121001 :ON won sowoIsNg o00F adds | won| NOLdIHOS3O / USWA WAL ALUNWAD | 4 oa zs ce ae = a ZeL0-Od | 696g00z0z1 geeze | quod Burddius | yeIl0g —_WYBuseAO PrBpUeIS x3Pe+ uaaWwnNOd | waEIWANOS =| #UaNOLSNO | swuaigos | sWHALIHOIUS | VIA dIHS Faron | : eezorze ava 3aNiN | | ‘seqeIS PENUN ‘08226 VO ‘USN ‘soyeis poMUN) ‘0826 WO ‘uASN BEL SUNS BEL ONS: @Ay MOG ZO0E Ay MOG ZOOE BUe/INON :O1 dIHS: BUBAINON 01 TE‘} Lake Region Lake Region Madea! £200 South Yorkie Steet, Salm, VA 26159 ‘Tevo-se0 7800 Certificate of Compliance NeurVana 3002 Dow Ave Suite 138 ‘Tustin, CA 92780 Lake Region Medical certifies that the following material conforms to the referenced purchase order and specification requirements: Purchase Order Number: PO-0132 Customer Part Number: 100171 REV 01 RO MARKER BAND Sales Order Number/Line: 1202008969/1.1 Item Number: 260907 Item Description: PT/10%IR TUBE, CUT Lot Number: F04810 Quantity Shipped/UOM 1000/EA Packing List Number 2716239 Quality Agsuyance Representative _31-AUG-2017Process Capability Analysis Lot Number : F04810.Q - 1D Fie Name: FO4810.Qce Upper Spee 0.00480 Nema 0.00400 Lowe’ Spee 0.00060, Sample Sze 30 Mean 8 8 Histogram ec te, Soe ate Ree as, Se 3a See Het pe ies Process Capability Analysis i aay Histogram Fille Name: F04810.Qc0 8 erent wenger A i a ree semen, 4 St or ee Bion ER a Siar 0.01289 °o Cabinet WerkOrders, Page Id 3804014 ‘Scanned Friday March 18, 2016 at 12:58 PM by urmannma on Simd37219 Printed Thursday August 31, 2017 at 12:50 PM by clayde from SLMD36259March 10, 2016 ~ 6:10:45 AM a LOT F04810 Cong Pepend Peed? | Para T aiaso| Asoo) “OBB ee ee 1500" coroe|—oosteeoote 07000, ocoste| somos Goat 0.01234 “0.00019 0.00008 0.00014 0.01230 ~o.00002 0.00003] —c.00012) 0.01243, 0.00002] 0.00018) “codo18 | 0.01268] 0.06006] 0.00010 c.o00t0 ooi2et| —oo00i4| 0.00002’ co00ie 0.01228] 0.00003" 0.00000. 0.0000 0.01286, 0.00008, —o.coHo4]” 0.00012 0.01252/—o00040{ oo01T| 0.00028 0.0228) ~a000r6) —o.0o018| o.c0ot2 0.01279/ 0.00013! 0.00001 0.00016. |, 0.01266 0.00024 0.00041| 0.00021 0.01240] 0.00017] 0.00008) ~0.000ce! 2.0255) 0.00004] “o.06011 — aooote 2001265 —0.00008 ~ 0.00005) 0.00016 ~ 0.01230. 0.00002] 0.00002] 0.00006: .01247| 0.00008] “o.c0020| o.0osia| j 0012521 6.00002! —o.000%8° 00020 0.01240 0.00013, 0.00003] oaoois 1 0.01268|"—o.00013| o.c0oia]~ ocoots| ‘.0%244| ~o.00011| o.@0008 0.00008 '8.61239, 0.00050, — 6.00008] ~0.00012 0%240| 0.00009] 0.00003] 00003 07227! —o.c0000! ~o.00003, ~o.co008! (0.01257) 000%) osocza] oooot2 0367| 0.01239] 0.00004) 0.00003" _o.00t7| 8.01237 0.00006 ~ 0.00008] —o.c0008, aad esaeal ee | ~o.0%263 —o.c00%4| ~o.600t6| ~a.o0ot1 ee 8 ootzi8" o0ovie o.G0009, o000ie” Page 1 of 1 ‘Cabinet WorkOrders, Page Id 3804015 ‘Scanned Friday Merch 18, 2016 at 12:68 PM by urmannma on Simd37219 Printed Thursday August 31, 2017 at 12:50 PM by clayde trom SLMO36258~ ~ Lake Region Medical Lake 200 South Yorkshire St, Salem, VA 24153 i T 840.389.7880 F 540.389.7857 Region : www lakeregionmedical com Additional Inspection Criteria Lot No: F04810 Wall Specification: 0.00300 + 0.00025 /- 0.00025 in Measured Wall By Weight: 0.00294 in ale ft Cabinet WorkOrders, Page Id 3804018 ‘Scanned Friday March 18, 2016 at 12:58 PM by urmannma on Simd37219 Printed Thursday August 31, 2017 at 12:50 PM by clayd from SLMD362593 Lake Region Medical no ne poke seni ene Region wor lakoregonmedial com Material Evaluation Report Material: Platinum/10% Iridium Lot: F04810 Melt: FO7795 pom wt a o8 0.0000 A 09 0.0001 as 04 6.0000 An 27. 0.0003 Boor 0.0000 cats 0.0001 Caos 0.0000 co 38 0.0004 cr 0.0003 cu oa 0.0000, Fe 489 = 0.0060 in On 1.0000 My 53 0.0005 un 45 0.0002 Mo Os 1.0000 Noa 0.0000 Os 08 0.0001 Poot 0.0000 Pa 65 0.0007 Rh 229 (0.0023 Ru 7 .0002 son 0.0000 Se 19 0.0002 Saat 0.0000 soo 9.0000 Te on 0.0000 Hoos 0.0000 Wo 12 0.0001 zn 04 0.0000, z 28 0.0003 PT Content is 90,123% IR Content is 9.867% = : Date: 3/10/2016 ‘GA Representative ME La Cabinet WorkOrders, Page Id 3804017 Scanned ry Mah 18,2016 1258 PM by umannms on Sina37219, Printed Thuedey August i, 2017 a 1250 Py cya tom SLMDEEDSS