| 2/6/2024 | 90189090 | Neurovascular scaffold, Product code: SFR4-3-40-10, CL: Solitaire X Revascularization Device, HSX: Micro Therapeutics, Inc. dba ev3 Neurovascular - USA, 100% new product | XXXXXXXXXX | 4 | PCE | 4453.88 | USA | NA |
| 2/6/2024 | 90189090 | Neurovascular scaffold, Product code: SFR4-4-40-10, CL: Solitaire X Revascularization Device, HSX: Micro Therapeutics, Inc. dba ev3 Neurovascular - USA, 100% new product | XXXXXXXXXX | 4 | PCE | 3587.36 | USA | NA |