37572_E

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P/N 37572 Rev E

Part Type 210


ECN87361
MATERIAL SPECIFICATION FORM

Part Name: Tube Pebax 0.114” ID 0.003” Wall 6.25” L, OTS

SECTION 1 – DISTRIBUTOR/SUPPLIER INFORMATION SECTION 2 – MANUFACTURER INFORMATION

NAME P/N NAME P/N

Any per ASL By Description Any per ASL By Description

SECTION 3 – PART DESCRIPTION

Is the component off-the-shelf (OTS)? ☒ Yes ☐ No

Single lumen, straight Pebax tubing

3.1 Material: Pebax, 7033-SA01 or Pebax, 7033-SA01 MED


3.2 Colorant: N/A, Natural
3.3 Length: 6.25 ± 0.13 inch N/A
3.4 Inner Diameter: 0.114 ± 0.001 inch
3.5 Wall Thickness: 0.0030 ± 0.0005 inch
3.6 Must meet acceptance criteria per inspection techniques detailed in
inspection section
3.7 Certificate of conformance required for each lot
3.8 Materials must be compliant to QCI P/N 108027.

SECTION 4 – SPECIAL HANDLING OR STORAGE REQUIREMENTS

4.1 Double Bag Parts and Ship in Straight Lengths. Package to prevent damage and prevent
contamination during shipment, handling, and storage.
4.2 Label inner bag with Supplier Name, Supplier Lot Number, ArthroCare Part Number, Arthrocare
Revision, and Quantity.
4.3 Package and Label multiple material lots separately.

SECTION 5 – INSPECTION REQUIREMENTS

FIRST ARTICLE INSPECTION (FAI) INCOMING INSPECTION

• Verify Materials are compliant to QCI P/N 108027. • Certificate of Conformance required per each lot.
Certificate of conformance to include the following
information:
o Supplier Name, Supplier Lot Number,
Customer Part Number, Customer Revision,
and Quantity.
o Material per this specification.
o Colorant per this specification
o Dimensional requirements per this
specification.
• Verify material compliance to QCI P/N 108027.
• Sampling Plan: ANSI/ASQC Z1.4 or Equivalent.
Single Normal, Level 1 AQL = 1.0

Form P/N 01171 Rev C | ECN82001 Page 1 of 2


P/N 37572 Rev E
Part Type 210
ECN87361
MATERIAL SPECIFICATION FORM
o Dimensional: The following inspection
technique is only applicable to Arthrocare
 Equipment that has an asterisk (*)
must have:
• Accuracy at least one-eighth
(1/8th) of the specification
tolerance range.
• Resolution that can
discriminate at least one-
tenth (1/10th) of the
specification tolerance
range.
 Inner Diameter: Verify ∅0.113 inch
minus gauge pin, Class ZZ or higher
accuracy, fits into each end of tube
to a minimum depth of 1 inch.
 Inner Diameter: Verify ∅0.115 inch
plus gauge pin, Class ZZ or higher
accuracy, cannot be inserted into
either end of the tube to a depth
greater than 1 inch.
 Wall Thickness: Use a micrometer*
with ratchet stop (use 1 click) and a
best fit pin gauge inserted into the
inner diameter. Wall thickness =
(micrometer measurement - best fit
pin gauge)/2
 Length: Measure with appropriate
equipment*
o Visual: Inspection to be performed at 12-18”
using room lighting with no magnification.
 No cuts, scratches, tears, or
embedded material.

Form P/N 01171 Rev C | ECN82001 Page 2 of 2

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