You are on page 1of 1

Certificate of Compliance and Conformance

This document is to certify that DeRoyal complies with the Food and Drug Administration, 21 CFR Part 820, Quality System
Regulation and the ISO 13485 Quality Management Systems-Requirements for regulatory purposes. This product has been
manufactured according to DeRoyal Quality System requirements. This document certifies that this product has been
manufactured to the product specifications and meets necessary requirements and appropriate test criteria.
Customer: INSTRUMENTACION MEDICA SA DECV
Packing List: 7041458
Product No. Product Description Mfg Lot No. Expiration Date Qty UOM Country Of Origin
71-1500 DeRoyal Solidifier Gels 1500cc 51241162 11/11/2024 100 CA United States

Approved By: Debbie Parks


Title: Assistant Director of Quality Assurance
Phone #: 888-938-7828 ext. 2058
Date: 01/03/2020
CORP.FRM.142
Rev. 7/2/18

You might also like