Schedule 1

Declaration of Conformity for Newport HT70™ Ventilator Accessories

UMDNS Code and GMDN Code and

Accessory Class/
Description Term Term
Part Number Rule
KIT3420A KIT, PED/ ADULT AIRWAY FLOW IIa/2 17764 (Airflow 31293 (Gas
SENSOR, BOX OF 4 Detectors, airway) Pressure
17614 (Carbon Transducer
Dioxide Detectors, Differential)
Exhaled Gas) 46821 (Carbon
Dioxide Cuvette,
Single Use)
SEN3420A SENSOR, AIRWAY FLOW, ADULT IIa/2 17764 (Airflow 31293 (Gas
ASSEMBLY Detectors, airway) Pressure
Transducer
Differential)
HT460300 AIR INLET FILTER PACK ASSY IIa/2 11712 (Filters, 14352,
Bacteria) (Filter,Ventilator)
RSV3215A OXYGEN RESERVOIR IIa/2 12873 (Oxygen 36327, Mixer,
Concentrators) (Breathing Gas)
HT6004701 PROXIMAL INLINE FILTERS IIa/2 11712 (Filters, 14352,
DISPOSABLES Bacteria) (Filter,Ventilator)
MXL70A-GR- LT/WT/OXYGEN MIXER W/ISO W IIa/2 12873 (Oxygen 36327, Mixer,
DS GREEN CONDUCTIVE HOSE Concentrators) (Breathing Gas)
MXL70A-WH- LT/WT/OXYGEN MIXER W/ISO W IIa/2 12873 (Oxygen 36327, Mixer,
BR WHITE CONDUCTIVE HOSE Concentrators) (Breathing Gas)
MXL70A-WH- LT/WT/OXYGEN MIXER W/ISO W IIa/2 12873 (Oxygen 36327, Mixer,
FR WHITE CONDUCTIVE HOSE Concentrators) (Breathing Gas)
MXL70A-WH- LT/WT/OXYGEN MIXER W/ISO W IIa/2 12873 (Oxygen 36327, Mixer,
PL WHITE CONDUCTIVE HOSE Concentrators) (Breathing Gas)
BAT3271A BATTERY ASSEMBLY W/DC IIb/9 16935 (Electronic 36534
CONNECTOR LOCK Power Supplies) (Rechargeable
Battery Pack)

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