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Packaging Information
Download Packaging Information®
Declaration of Conformity
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Legal Manufacturer:
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Iridex Corporation
1212 Terra Bella Avenue
Mountain View CA 94043-1824, USA
www.iridex.com
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European Authorized Representative:
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Emergo Europe B.V.
Westervoortsedijk 60
6827 AT Arnhem
The Netherlands
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Packaging Configuration:
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See Table 1, Table 2, Table 3, and Table 4
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Packaging Description & Identification:
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See Table 5, Table 6, Table 7, and Table 8
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Applicable Union Legislation:
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Regulation (EU) 2025/40
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Conformity Assessment:
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Article 38, Article 39 and Annex VII (Module A - Internal Production Control), including technical documentation
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Relevant Standards and Specifications:
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There are no additional current common specifications or harmonized standards to which conformity is declared
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Notified Body:
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Not Applicable (self-assessment/internal production control)
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This declaration of conformity is issued under the sole responsibility of Iridex Corporation in compliance with Annex VIII of the Regulation (EU) 2025/40. We hereby declare that the packaging identification and its descriptions specified in the attached list meet the provisions of Regulation (EU) 2025/40.
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Signed for and on behalf of: Iridex Corporation
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8/21/2026 | 3:16 PM PDT
Date of Issue
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Name: Bill Hyatt
Function: Director of Regulatory Affairs
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Mountain View, CA 94043 U.S.A.
Place of Issue
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Table 1: Laser Console and Capital Equipment Packaging Configuration
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No.
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Packaging Configuration ID
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Product Configuration Description
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Details of Included Components
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1.
|
LC-01 |
Base Configuration consisting of:
Laser Console and Standard Wired
Footswitch
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Laser console packaged together with the standard
footswitch
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2.
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LC-02 |
Base Configuration + Wireless Footswitch
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Base configuration packaged with a wireless
footswitch
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3.
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LC-03 |
Base Configuration + LIO
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Base configuration packaged with Laser Indirect
Ophthalmoscope (LIO)
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4.
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LC-04 |
Base Configuration + LIO + SLA
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Base configuration packaged with LIO and Slit
Lamp Adapter (SLA)
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5.
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LC-05 |
Base Configuration + SLA
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Base configuration packaged with Slit Lamp
Adapter (SLA)
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6.
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LC-06 |
Base Configuration + TxCell
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Base configuration packaged with TxCell
Scanning Delivery System
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7.
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LC-07 |
Base Configuration + TxCell + LIO
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Base configuration packaged with TxCell System
and LIO
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8.
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LC-08 |
Base Configuration + LIO + SLA + TxCell
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Base configuration packaged with a LIO, SLA and
TxCell
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9.
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LC-09 |
Base Configuration + LIO + SLA + TxCell
+ Wireless Footswitch
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Base configuration packaged with a LIO, SLA,
TxCell and wireless footswitch
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|
10.
|
LC-10 |
Accessories added to any of the above
configurations (see accessories
configurations)
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The following accessories may be packaged with
any LC-01 through LC-09, but these do
not change
the packaging configuration that they are shipped
in. For accessory
specific packaging material
information refer to Table 3
• Remote Control (IQ
Family only)
• Safety glasses
• OMA
• ESF
• MLT Lens with Flange
•
Dust Cover, GL/GLx/TX
• Dust Cover, SL/SLx/DioVet
• Dust cover for IQ532/IQ577
•
Assy. Illum. Adapter (ea) (Alcon® Accurus®
and Greishaber®)
• Assy. Illum.
Adapter Thread Connect (Photon)
(ea) (Synergetics® Photon™)
• Assy. Illum.
Adapter - Friction Fit (ea)
(D.O.R.C. BrightStar)
• Assy. Illum. Adapter (ea)
(Bausch & Lomb®
Stellaris®)
• Shunted SmartKey
• Adapter Plate Haag
Streit BQ
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Table 2: Probes Packaging Configuration
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No.
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Packaging Configuration ID
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Product Configuration Description
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Details of Included Components
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1.
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PRB-01 |
Base Configuration consisting of:
Standard Box (White) of 6 Probes
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6x Individually packaged Probe Delivery
Devices
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2.
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PRB-02 |
Pack of 1 or 2 Base Configuration in a Box
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Outer Shipping Box
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3.
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PRB-03 |
Pack of 3 Base Configuration in a Box
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Outer Shipping Box
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4.
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PRB-04 |
Pack of 5 Base Configuration in a Box
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Outer Shipping Box
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5.
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PRB-05 |
Pack of 8 Base Configuration in a Box
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Outer Shipping Box
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6.
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PRB-06 |
Japan only:
10 Cell Probe Box + Dividers
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Outer Shipping Box for Japan only
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7.
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PRB-07 |
Single, Probe, Sterile
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Individually supplied probe in Tyvek
pouch packaged in bubblewrap.
Note: The
sterile Tyvek pouch, which is
primary packaging, is excluded from the
minimum
recycled content requirements
of Article 7(1) and (2) where it qualifies
as
contact-sensitive plastic packaging of a
medical device covered by Regulation
(EU)
2017/745, in accordance with
Article 7(4)(b).
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Table 3: Accessories Packaging Configuration
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No.
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Packaging Configuration ID
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Product Configuration Description
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Details of Included Components
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1.
|
ACC-01 |
Remote Control (IQ Family only)
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Packaged in a bubble wrap
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2.
|
ACC-02 |
Operating Microscope Adapter (OMA)
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OMA packaged in a Box and Foam
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3.
|
ACC-03 |
Eye Safety Filter (ESF)
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ESF packaged in a Box + Foam Set
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4.
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ACC-04 |
Safety Glasses
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Case (Re-usable, exempt)
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5.
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ACC-05 |
Miscellaneous Accessories:
• Dust Cover, GL/GLx/TX
• Dust Cover, SL/SLx/DioVet
•
Dust Cover for IQ532/IQ577
• Assy. Illum. Adapter (ea) (Alcon®
Accurus® and
Greishaber®)
• Assy. Illum. Adapter Thread Connect
(Photon) (ea) (Synergetics®
Photon™)
• Assy. Illum. Adapter - Friction Fit (ea)
(D.O.R.C. BrightStar)
•
Assy. Illum. Adapter (ea) (Bausch &
Lomb® Stellaris®)
• Shunted SmartKey
•
Adapter Plate Haag Streit BQ
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Various polybags and/or Bubble wrap
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Table 4: Pascal Synthesis Packaging Configuration
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No.
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Packaging Configuration ID
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Product Configuration Description
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Details of Included Components
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1.
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PAS-01 |
Shipping box including Accessories
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Shipping box for Synthesis and various accessories consisting of various system
components
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2.
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PAS-02 |
PAS-01 + Pascal LIO
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PAS-01 packaged with Pascal LIO
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For the purposes of this Declaration of Conformity, following are the definitions of the packaging
identifications:
- Primary: The primary packaging encloses or supports an individual product unit. This
consists of contact-sensitive probe pouches (exempt from PPWR), protective foam inserts, and various
polybags or bubble wraps utilized to wrap, isolate, and protect accompanying accessories and
miscellaneous parts within the primary sales unit.
-
Secondary: The secondary packaging is used to group multiple sales units together.
This consists of white probe boxes used to group six individual probe pouches.
-
Tertiary: Tertiary packaging is utilized to facilitate the handling and transport of
primary units or secondary packaging configurations. This consists of outer shipping boxes, heavy-duty
corrugated cartons, and pallets to prevent physical handling and transport damage.
Table 5: Laser Console and Capital Equipment Packaging Identification
| No. |
Packaging Configuration ID |
Component Specification (CS) |
Packaging Description |
Specification |
Packaging Identification
(Primary or Secondary or Tertiary) |
Packaging Supplier |
Supplier PN |
Material |
|
Shared Packaging Material: Common to LC-01 through LC-09
|
|
IQ 532/577 and Cyclo G6 Laser Console Products
|
| 1. |
LC-01 through LC-09 |
65561 |
Shipping Box, IQ Family and Cyclo G6 |
Dimensions (LWH):
18" × 18" × 24” |
Tertiary |
Stephen Gould |
65561 |
Cardboard, Double Wall Corrugated 275BC |
| 2. |
LC-01 through LC-09 |
65560 |
Foam Set, IQ Family and Cyclo G6 |
- 18” × 18” (includes the 03 cutouts)
- Single large rectangular cutout total height 11 ¾”
- The 18” × 18” cap with the stepped rectangular frame cutout
- A solid 2 ¼” thick foam blocking pad
- A solid 1” thick base pad acting as the floor
|
Primary |
Stephen Gould |
65560 |
1480CHAR |
|
OcuLight GL/TX/SLx/SL Laser Console Products
|
| 3. |
LC-01 through LC-09 |
87337 |
Shipping Box, Half Non-Carry All Box, GL/TX/SL/SLx |
Dimensions (LWH):
21 1⁄8” × 17 1⁄4” × 11 5⁄8” |
Tertiary |
Container Consulting Services (CCS) |
87337 |
Cardboard, Double Wall Corrugated 275BC |
| 4. |
LC-01 through LC-09 |
12836 |
Foam Set, Non-Carry All, GL/TX/SL/SLx |
Variable |
Primary |
Stephen Gould |
12836 |
Various |
| 5. |
LC-01 through LC-09 |
11923 |
Box Scored Pad, Footswitch, Accessory (Non-Joined Divider for box PN 87337) |
Dimensions:
11.63” × 57.5” |
Primary |
Stephen Gould |
11923 |
Cardboard, Double Wall Corrugated 275BC |
|
Packaging Material: Specific to TxCell, LIO, SLA, or Wireless Footswitch
|
|
TxCell Scanning Laser Delivery System
|
| 6. |
LC-06 through LC-09 |
70366 |
TxCell Foam and Shipping Box Set |
Box Dimensions (LWH):
22” × 17” × 13”
Foam
a) Laser Pack Assembly Foam Thicknesses:
- Item 2: 1 in.
- Item 3: 2 in.
- Item 4: 1 in.
- Item 5: 2 in.
- Item 6: 1 in.
b) Main Assembly Foam Thicknesses:
- Item 1: 1 in.
- Item 2: 2.38 in.
- Item 3: 1 in.
- Item 5: 2 in.
- Item 6: 2 in.
- Item 7: 2 in.
- Item 8: 4 in.
|
Shipping Box: Tertiary
Foam: Primary
|
Stephen Gould |
70366 |
Box: Double Wall Corrugated Cardboard, 275C
Foam: Urethane 1.5PCF, IFD 50
|
| 7. |
LC-06 through LC-09 |
88154 |
Anti-Static Poly Bag 4 mil (TxCell SLA) |
Dimensions:
8” × 16” |
Primary |
U-Line |
S-6965 |
Linear LDPE |
| 8. |
LC-06 through LC-09 |
88155 |
Anti-Static, 4 mil Poly Bag (TxCell Control Box) |
Dimensions:
16” × 20” |
Primary |
U-Line |
S-5255 |
Linear LDPE |
|
Laser Indirect Ophthalmoscope (LIO)
|
| 9. |
LC-03, LC-04, LC-07, LC-08, LC-09 |
87306 |
Shipping Box, 8 Pack Probe, LIO and OMA |
Dimensions (LWH):
21 1⁄2" × 11 1⁄2" × 16 5⁄8” |
Tertiary |
CCS |
87306 |
Double Wall Corrugated Cardboard, 275C |
| 10. |
LC-03, LC-04, LC-07, LC-08, LC-09 |
13143 |
Shipping Foam for 13142 Box – Side Entry Box |
Dimensions (LWH):
21.38" × 11.38" × 5.25” |
Primary |
Stephen Gould |
13143 |
Expanded Polypropylene (EPP) 1.3 PCF |
|
Slit Lamp Adapters (SLA)
|
| 11. |
LC-04, LC-05, LC-08, LC-09 |
87306 |
Shipping Box, 8 Pack Probe, Double Corrugated |
Dimensions (LWH):
21 1⁄2" × 11 1⁄2" × 16 5⁄8” |
Tertiary |
CCS |
87306 |
Double Wall Corrugated Cardboard, 275C |
| 12. |
LC-04, LC-05, LC-08, LC-09 |
11916 |
Carry All, SLA Foam Top and Bottom |
Dimensions (LWH):
17.75” × 12.63” × 4.51” |
Primary |
Stephen Gould |
11916 |
P65 Charcoal material |
| 13. |
LC-04, LC-05, LC-08, LC-09 |
31140 |
Box, Shipping, Symphony SLA |
Dimensions (LWH):
24 1⁄4" × 14 3⁄4" × 7 7⁄8” |
Tertiary |
CCS |
31140 |
Double Wall Corrugated Cardboard, 275C |
| 14. |
LC-04, LC-05, LC-08, LC-09 |
31141 |
Shipping Foam for 31140 Box – Symphony Box |
Top Lid Enclosure Dimensions (LWH):
21 3⁄4" × 14 1⁄2" × 1 3⁄4"
Bottom Base Enclosure Dimensions (LWH):
21 1⁄2" × 14 1⁄2" × 3 1⁄2"
|
Primary |
Stephen Gould |
31141 |
N95 CHAR |
|
Wireless Footswitch
|
| 15. |
LC-02, LC-09 |
N/A (Procured directly from Supplier) |
Box, Wireless Footswitch |
9” × 9" × 7” |
Primary |
U-Line |
S-4596 |
Cardboard, Corrugated Boxes |
Table 6: Iridex Probe Delivery Devices Packaging Identification
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No.
|
Packaging Configuration ID
|
Component Specification (CS)
|
Packaging Description
|
Specification
|
Packaging Identification
|
Packaging Supplier
|
Supplier PN
|
Material
|
|
1.
|
(Exempt)
PRB-01 through
PRB-07
|
• 10370
• 10371
|
Pouch, Tyvek
|
Dimensions:
• 8” × 12”
• 10” × 15”
|
Primary
(contact-sensitive)
|
Oliver
Healthcare
|
• 10370
• 10371
|
Pouch uses
MDT1073TT Tyvek
for base material and
is sealed with
MRM4820PU
Film
|
|
2.
|
PRB-01
|
15462
|
Box, White,
Small Six pack
Box
|
Dimensions (LWH):
15.25” × 10.00” × 3.00”
|
Secondary
|
• Stephen
Gould/
• CCS
|
15462
|
0.024 THK.
CANDESCE C1S
SBS
|
|
3.
|
PRB-01
|
11822
|
Box, White,
Large Six pack
Box
|
Dimensions (LWH):
15.25” × 10.19” × 1.94”
|
Secondary
|
• Stephen
Gould/
• CCS
|
11822
|
0.024 THK.
CANDESCE C1S
SBS
|
|
4.
|
PRB-02
|
13159
|
Shipping Box,
SLA/LIO/Misc
(2 Probe Box)
|
Dimensions (LWH):
17 3⁄4" × 12 1⁄2" × 6 1⁄8”
|
Tertiary
|
Stephen Gould
|
13159
|
Double Wall
Corrugated
Cardboard, 275BC
|
|
5.
|
PRB-02
|
87291
|
1 or 2 Probe
VARI Depth
|
Dimensions (LWH):
15 1⁄2" × 10 1⁄8" × 6 1⁄2"
|
Tertiary
|
CCS
|
87291
|
Single Wall
Corrugated
Cardboard, 200C
|
|
6.
|
PRB-03
|
87288
|
3 Pack Probe
Outer Box
|
Dimensions (LWH):
17" × 13" × 11"
|
Tertiary
|
CCS
|
87288
|
Double Wall
Corrugated
Cardboard, 275BC
|
|
7.
|
PRB-04
|
87290
|
5 Pack Probe
Outer Box
|
Dimensions (LWH):
10 7⁄8" × 10 7⁄8" × 15 3⁄8"
|
Tertiary
|
CCS
|
87290
|
Double Wall
Corrugated
Cardboard, 275BC
|
|
8.
|
PRB-05
|
87306
|
Box, 8 Pack
Probe, Double
Corrugated
|
Dimensions (LWH):
21 1⁄2" × 11 1⁄2" × 16 5⁄8”
|
Tertiary
|
CCS
|
87306
|
Double Wall
Corrugated
Cardboard, 275BC
|
|
9.
|
PRB-06
|
87338
|
Probe Box,10
Cell with
Dividers (For
JAPAN Only)
|
Dimensions (LWH):
23 1⁄4” × 18 1⁄2” × 18” +
Dividers
|
Tertiary
|
CCS
|
87338
|
Single Wall
Corrugated
Cardboard, 275C
|
|
10.
|
PRB-07
|
N/A
|
Single, Probe,
Sterile
|
Individual single probe
bubble wrapped
|
Primary
|
U-Line
|
S-2875P
|
Nylon/LDPE
|
Table 7: Accessory Packaging Identification
| No. |
Packaging Configuration ID |
Component Specification (CS) |
Packaging Description |
Specification |
Packaging Identification
(Primary or Secondary or Tertiary) |
Packaging Supplier |
Supplier PN |
Material |
| Remote Control |
| 1. |
ACC-01 |
N/A |
Anti-Static Bubble Wrap, Strong Bubble Roll 5⁄16" |
Dimensions:
24" × 375', Perforated |
Primary |
U-Line |
S-2875P |
Nylon/LDPE |
| OMA |
| 2. |
ACC-02 |
87306 |
Shipping Box, 8 Pack Probe, LIO and OMA |
Dimensions (LWH):
21 1⁄2" × 11 1⁄2" × 16 5⁄8” |
Tertiary |
CCS |
87306 |
Double Wall Corrugated Cardboard, 275C |
| 3. |
ACC-02 |
13143 |
Shipping Foam for 13142 Box – Side Entry Box |
Dimensions (LWH):
21.38" × 11.38" × 5.25” |
Primary |
Stephen Gould |
13143 |
Expanded Polypropylene (EPP) 1.3 PCF |
| ESF |
| 4. |
ACC-03 |
32828 |
Packaging, Fixed Eye ESF, Lens box assembly with Foam |
Dimensions (LWH):
5" × 4.75" × 1.5” |
Shipping Box: Tertiary
Foam: Primary |
Stephen Gould |
32828 |
Box: Single Wall Corrugated Cardboard, 200C
Foam: PE 1.5PCF Black |
| 5. |
ACC-03 |
30606 |
Box, Shipping, 2 Position ESF |
Dimensions (LWH):
11 1⁄4" × 8 3⁄4" × 3” |
Tertiary |
Stephen Gould |
30606 |
Box: Single Wall Corrugated Cardboard, 200C |
| 6. |
ACC-03 |
30607 |
Foam Insert, 2 Position ESF |
Dimensions (Top & Bottom, LWH):
11 1⁄4" × 8 3⁄4" × .625” |
Primary |
Stephen Gould |
30607 |
Polyurethane |
| Safety Glasses (Re-usable Case, Exempt) |
| 7. |
ACC-04 |
N/A |
Glasses Packed in Protective Case |
Re-usable Case |
N/A |
NoIR LaserShield |
Various |
N/A |
| Miscellaneous |
| 8. |
ACC-05 |
45106 |
Reclosable Bags 4 Mil |
Inside W × L:
8 × 10" |
Primary |
U-Line |
S-1713 |
Polyethylene Film |
| 9. |
ACC-05 |
11914 |
Self-Seal Bubble Bags |
Inside W × L:
4 × 5 1⁄2" |
Primary |
U-Line |
S-680 |
Nylon/LDPE
Adhesive: Rubber based |
| 10. |
ACC-05 |
11925 |
Polybag 2 Mil |
Dimensions:
24" × 30" |
Primary |
U-Line |
Various |
Linear LDPE |
| 11. |
ACC-05 |
11926 |
Polybag 2 Mil |
Dimensions:
9" × 15" |
Primary |
U-Line |
Various |
Linear LDPE |
| 12. |
ACC-05 |
87550 |
Polybag 2 Mil |
Dimensions:
8” × 8” |
Primary |
U-Line |
S-1337 |
LDPE |
| 13. |
ACC-05 |
N/A |
Anti-Static Bubble Wrap, Strong Bubble Roll 5⁄16" |
Dimensions:
24" × 375', Perforated |
Primary |
U-Line |
S-2875P |
Nylon/LDPE |
| 14. |
ACC-05 |
16100 |
Anti-Static Self Seal Bubble Bag |
Dimensions:
4 × 5 ½ |
Primary |
U-Line |
S-500 |
LDPE with a nylon layer
Adhesive: Rubber based |
| 15. |
ACC-05 |
82391 |
Bag, Pink, Anti-Static, Polybags, 6 Mil |
Dimensions:
24" × 36" |
Primary |
National Bag Company, Inc. |
90610C6 |
Various |
Table 8: Pascal Synthesis Packaging Identification
| No. |
Packaging Configuration ID |
Component Specification (CS) |
Packaging Description |
Specification |
Packaging Identification
(Primary or Secondary or Tertiary) |
Packaging Supplier |
Supplier PN |
Material |
| 1. |
PAS-01
|
SA-06430
|
Assembly, Shipping Box Synthesis III PA-04 Complete
|
Comprises of following shipping boxes and a pallet runner:
a) SS-06164, Shipping Box, Synthesis 3
Cardboard Boxes:
- Item -02 (275# BC Flute Kraft Box): 19.25 × 32.25 × 22.5
- Item -03 (275# BC Flute Kraft Box): 14.125 × 18.25 × 19.5
Left & Center-Left Stack (Foam)
- Item -19 (1.2# PLM Green): 0.88(ex) × 16.75 × 18.5
- Item -18 (1.2# PLM Green): 4(ex) × 16.75 × 18.5
- Item -17 (P45 Gray): 2 × 12.5 × 14.75
- Item -16 (P45 Gray): 1 × 12 × 15
- Item -15 (P45 Gray): 2 × 7 Dia (Circular block)
- Item -14 (P45 Grey): 18.5 × 17 × 15.875
- Item -13 (1.2# PLM Green - Qty 2): 1.88(ex) × 16.75 × 18.5
Right & Far-Right Stack (Foam)
- Item -12 (1.2# PLM Green): 1.88(ex) × 13.75 × 17.5
- Item -11 (1.7# EPE Blue): 17.875 × 13.75 × 13.875
- Item -10 (1.7# EPE Blue): 17.875 × 13.75 × 13.875
b) SS-06190, Shipping Box, Synthesis Accessories, Small Dimensions:
Box:
- Item -04 (275# BC Flute Kraft Cardboard Box): 20.25 × 19.25 × 14.125
Foam Components:
- Item -23 (1.2# PLM Green Pad): 0.88(ex) × 19.25 × 20.25
- Item -22 (1.2# PLM Green Open-Top Liner Assembly): 14.125 × 19.25 × 20.25
- Item -21 (1480 Blue Pad): 1 × 13 × 16
- Item -20 (1.2# PLM Green Blocks - Qty 2): 1.88 (ex) × 4 × 12
c) SS-06299, 2-Honeycomb Pallet Runner, 48 x 6 x 4
|
Shipping Box: Tertiary
Foam: Primary
|
Stephen Gould
|
SA-06430
|
Kraft Cardboard Boxes
P45 Charcoal Polyurethane / 1480Blue
1.2#Polylam Green / 1.7# Expanded Polyethylene Blue
|
| 2. |
PAS-02
|
SS-06192
|
Box, Shipping, PASCAL LIO
|
SS-06192 consists of following packaging components with dimensions (LWH):
- LIO Kit Carton, SS-06199: 19.80" × 16.26" × 12.85
- LIO Kit Base Tray, SS-06200: 10.16" × 5.91" × 4.96”
- LIO Kit Creased Board, SS-06201: 19.80" × 16.26" × 12.85”
- LIO Kit Base Tray 1, SS-06202: 14.49" × 15.55" × 5.63”
- LIO Kit Pad, SS-06203: 15.55" × 14.13" × 0.51”
- Top Cap, Pascal LIO Kit, SS-06204: 18.90" × 15.55" × 6.57”
|
Shipping Box: Tertiary
Foam: Primary
|
Keeler Ltd
|
1205-P-5031
|
Carton: Cardboard corrugated
Tray, Board, Pad and Cap: Stratocell PE Foam White
|
|
|
|
|
|
|
|