DNV
Management System Certificate
Carecate No, Intl caricton Oat: Vals unt
348216-2097- ALUSANAPS Rov 02 ‘ry 2015, 3 2028
This is to certify that the quality system of:
Codonics Incorporated
17991 Englewood Drive, Middleburg Heights, OH 44130 USA
has been found to conform to the Quality Management System standard
ISO 13485:2016/NS-EN ISO 13485:2016
This certificate is valid for the following scope
The Design, Manufacture, Servicing, Sales and Distribution of Imaging and Patient Safety
Devices for the Medical industry.
For he ieuig ote:
DNV Product Assurance AS
Bh Syne, Negi,
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SO, cart
‘eae tera oms aden as scum Conteaon Ayoone, ale cong mayer i Cait ak
‘ats Baty: DAY Prot sate AS, Vera, 1985 Hak Ney, Te +4767 57880 wc iceasinssoruseé Se fey U.S. FOOD & DRUG
ADMINISTRATION
Certificate No. 5995-2-2020
CERTIFICATE TO FOREIGN GOVERNMENT
In order to allow the importation of United States products into foreign countries , the U.S. Food and Drug
Administration (FDA) certifies the folowing Information concerning the produc(s) to be exported isted below:
Name of Product(s) Name of Manufacturer/Distributor, Address
See Attached List See Attached List
(One Page) (One Page)
{ihe product(s) described above (and the manufacturing/disttibution site(s) which produces/distributes itis subject
to the jurisdiction of the FDA under the Federal Food, Drug, and Cosmetic Act
Its certified that the above product(s) may be marketed in, and legally exported from, the United States of
America at this me, The manufacturing plant(s) in which the product(s) is produced & subject to period
inspections. The last such inspection showed thal the plant(s), at that time. appeared to be in substantia
‘compliance with current good manufacturing practice requirements for the product(s) listed above
Sincerely,
CS at ines,
COR Cesar A. Perez, PhD, Director
DRP2: Division of Establishment Support
Office of Regulatory Programs
Office of Product Evaluation and Quality
Center for Devices and Radiological Health
U.S. Food and Drug Administration, DHHS
This certificate is valid from February 21, 2020 to February 20, 2022Se U.S. FOOD & DRUG
Certificate No. $995-2-2020
Certificate to Foreign Government - Name of Manufacturer/Distributar Attachment Page 1 of 1
‘CODONICS, INC.
17991 ENGLEWOOD OR
Middleburg Heights, OH USA 46130
Name of Manufacturer
CODONICS. INC.
17931 ENGLEWOOD OR.
Cleveland, OH USA 44130
Name of Distributor
CODONICS, INC.
17991 ENGLEWOOD OR.
Cleveland, OH USA 46130
END OF MANUFACTURERIDISTRIGUTOR LIST-Se U.S. FOOD & DRUG
Certificate No, 6995-22020
Certificate to Foreign Government - Name of Product(s) Attachment Page 1 of 1
Name of Owner Operator
Nidoburg Hogs, OF USA 44130,
Name of Wanutacturer
5, INC
17991 ENGLEWOOD OR,
Cheval, OH USA 44130
Mame of Distibutor
ODONICS, NC.
17991 ENGLEWOOD OR
Covel, OH USA £4130
Name of Product(s)
(ORIZON MEDICAL MULTIMEDIA DRY IMAGER
adelsContguations
Gi Lange Format Coon, Gay
CLRAD Ma Foxmat Coby,
s Mosnon Format Coo,
ay Scale, Fn
OSRAD Mult Format roy Seale
SF Smal Format Colo, Gray Seale, Fm
6 (1497 Th
1 Sil
{62 Dusl oput Mult Format, Gray Seal, Fém
AL Mecical Long Fl imager (14% & 1451)
‘CODONICS SAFE LABELING SYSTEM (SL)
adel .8-500/560), $1 §-SOOPISE0P SIS
Sale Label System Aniston Toa! (A) (ll SLS applcabie)
DIRECT VISTA THERMAL FiLM FILM RADIOGRAPHIC
Dec Vista Bie Blue Filn@x10, {1n14. 1417, 436, 14081
Doct Vita Bue: (OVE) Far-Ba30. 14417
Direc ta Rue-5 (OVO) Fim x1, 11114, out? 14438, 1951
Diet Vis Car Finsx10, 14x
Dace! Vita Wie Fk &, Aa, $4404. Ye
nt Se M
Muli Fazal, Gay Scale, Fn
XXX, Paint of Gare Sto
—--FNO OF F
UCT ListDocument Ref: DoC2020Rev 01
EODONIES | Lecteration of Conformity
Page: 1 of 5
EC DECLARATION OF CONFORMITY
1) Manufacturer (Name, department): Codonics, Incorporated
Address: 17991 Englewood Drive, Middleburg Heights, Ohio 44130. USA.
and
2) European authorized representati
‘Address: ESDOORNLAAN 13, 3951DB MAARN, THE NETHERLANDS;
(on product labels printed as:
CEpariner4U, ESDOORNLAAN 13, 3951DB MAARN, THE NETHERLANDS www.cepartnerdu.com/
3) Product(s) (name, type or modeVbatch number, etc):
image Printers, Disc Publishers, Medication Safety Systems, and accessories /
recording media, see Appendix
4) The product(s) as noted in appendix and described above in conformity with:
Title Document No.
Medical Device Directive 93/42/EEC
Restriction of the use of certain 2011/65/EU
hazardous substances (RoHS)
1SO 13485:2016/NS-EN ISO 13485:2016 | 245216-2017-AQ-USA-NA-PS Rev. 1.0
IEC 60601-1-2:2014 4th Edition MDD 93/42/EEC
5) Additional information (conformity procedure, Notified Body, CE certificate, etc.)
Conformity assessment procedure for CE marking: Medical Device Directive, Annex VII
Middleburg Heights, Ohio s
October 14,2020 Alan DeSantis, VP, Regulatory Affairs and QA
ORIGINAL ON FILE WITH
CEpartner4U , Esdoornlaan 13, 395108 Maar. The Nethertands. www.cepartner4u.com:
900-001-010.016 CODONICS
Declaration of Conformity
Document Ref; DoC2020Rev 01
Page: 2 of 5
Appendix Date: 2019-11-15
List of Devices Updated 2020-10-14
[, First Date of
DEVICE NAME MODEL RISKCLASS / RULE °
CE Marking
HORIZON MEDICAL MULTIMEDIA | Gi Large Format Color, Gray | Glass T-Rule 12 ‘oa77372002
vee ORY IMAGER, Horizon. | Scale, Fim (image printer)
CONFIGURATION 2. xx or higher ‘Gi-RAD Mutt Format Color,
VEC 6060%-1-2:2074 4th Ed i SF, XL Gray Scale, Fim
VEC 60601-1.2:2014 Ath Ed GS, G1, C2
GS Large Format Gray Scale
Model Designation is Logo Badged on |g sna oxmat Color, Gray
‘each product Chassis | Scale, Fim
G (1417) Three input Single
Media
1 Single Input Multi Format,
Gray Scale, Film
{G2 Dual Input Mult Format,
Gray Scale, Film
XL Medical Long Film imager
(1436 & 1451)
‘SRA Madical imager GZ par HRGZT-SRIFOT | SRM Imager Grass TRule 72 OBFITIOTS
‘SRM Modical imager Gs part HRGsT-SRMLO2
(Image printr)
CNFG 8.x or higher
GE Medical Multtmedia ImagerXX | Models eluded Gi, GS, SF, XL_| Class T-Rule 12 OATBO0T
ONFG 8.xx or higher Long Film Imager (image printer)
1EC 60601-1-2:2014 ath Ed Cl, SF, XL
IEC 6060%-1-2:2014 th Ed GS, G1, C2
TORO Fim CReator TGRo Fim CReaior Glass TRule 12 OBEAOOT
CNFG 8.0« or higher (mage printer)
PRO Imager KK par #120-S-0007 PROMAGEr ‘Class FRue TZ O71 72007
PROImager-XX-plus: part 4120-9-0003 ((mage printer) 711112007
CNFG 8.2x or higher
‘Virtua Series Medical Disc Publisher and] Virtua, Virtua C, Vitua E, Glass T- Rule 2 ‘O6TETT2006
Image Manager (CDIDVD Disc Publisher) | ius xR
IEC 60601-1-2:2014 ath Ed
Virtua XR Medical CD/DVD Dise (Medical mage Data | 07/1112007
Publisher
IEC 60601-1-2.2014 ath Ed Storage Device)Declaration of Conformity
Document Ref: DoC2020Rev 01
Page: 3 of 5
First Date of
DEVICE NAME MODEL RISKCLASS / RULE
CE Marking
Sao Labsing Stem 51S SLS-S00; SIS HO, SISK [Css FR? ——]oawa7o77
818-50, Pott Cre Saton | Mian Data
(Pos) Management Devic)
Safe Label Stem Adinisatie Teo! |PC Sotware oavos0t1
TEC 6601-12014 an Ea
DAYLIGHT Wodaiy Pir Suton] PC Stars Cass Rue? JOST
(Medical Image Data
storage Devin
‘CODONICS OPTICAL DISC MEDIA Medical Grade CD-R Disc Media | Class 1-Rule 1 ~ | 4970172073
Modal Grade BVO-RDC |Genaes money
Neda
Varios 20s" OVOIOVE, OVS 8 Dec Vas Bus Caran — [ORS RET osrraamas
var (Radars Fim) Dred VsaBlies | lrdcopyMeda) | 98202018
DvP, CVP (ated a6 Cob and Gray |e Vita Paper, Dect Vita oar2004
Sale white Fins), Ghvoma Vista Paper Chroma
Veta nto Fire cart72004
CVTICVE(TranspareneyColorFims) | chroma Vista Transparency
rater pa tits at |atlo Ova ota car172008
Dros Vita 146,961
DirectVista Long Film: perer2oo7
SRM media of Various sizes of SRM B10, 11°14", 18x17" [Class T-Rule 7 (06/17/2019
OVCOVaDVETIOVES Radiographic |xedica (Harécopy Meda
Fim) moa Fin
Oger RX Wi Tragg Fim | PROImager OVE Ta and [Cane TRUE on FT
x10 RadogapneFim) | areopy Meds
Wi aig Fin Ex, AIT Toue and — [ass TFT oT Taaa7
Various sizes of BVCIDVB (Rasonapic | Sea" Medealimanng Fim | sracopy Meda)
Fim) and DVP, OVP (sed as Cole and. Re 1° Medica! imagng
Gray Scale WhioFims).cvriove [SuyseaePape DvP
(Transparency Ctr Fins) Ses Ove
indo Ad, Be0, 1316, 6x7, an
14999, 1481
ico Wedel gi Fim CR im CRealo OVE TORT | Oa FRI aaSTOOT
‘and 8x10 (Radiographic Film) | (Hardcopy Media)G covons
Declaration of Conformity
Document Ref: DoC2020Rev 01
Page: 4 of 5
Note:
‘SRM Products are Horizon imagers and media manufactured by Codonics and Labelled /Packaged
Tor SRM Romania
{PROTEC Products are Horizon imagers and meia manufactured by Codonics and Labelled /Packagod
Tor PROTEC Medical Systems
“GE Heatheare Pr
for GE Healthcare
are Horizon imagers and media manufactured by Codonics and Labeled /Packaged
* iGRco iim Products are Horizon imagers and media manufactured by Codonics and Labelled /Packaged
for iCReo Incorporated
Product ALIAS CROSS
REFERENCE.
Tinage importer Viewer
Image Storage Server
Codonies teary
GCO VIEW TGs STATON
—Codentes tiny OX
‘Stora
Daa Sto
{infinity ROSS)
Toshiba ROSS (CRRS
108/28)
Siemens SRO
Codonles tity Raw Bata
Tadonieslniniy-t or Codon
Bi
‘Server
WAGERS ALIAS Codonies-——Codonies-—«Codonics_—« Cadet’