Brand Name | ETEST DAPTOMYCIN DPC 256 WW S30 |
Type of Device | ETEST® DAPTOMYCIN DPC 256 WW S30 |
Manufacturer (Section D) |
BIOMÉRIEUX SA |
3 route de port michaud |
la balme 38390 |
FR 38390 |
|
Manufacturer (Section G) |
BIOMÉRIEUX SA |
3 route de port michaud |
|
la balme 38390 |
FR
38390
|
|
Manufacturer Contact |
matthew
locus
|
595 anglum road |
hazelwood, MO 63042
|
|
MDR Report Key | 10766465 |
MDR Text Key | 241364592 |
Report Number | 9615754-2020-00175 |
Device Sequence Number | 1 |
Product Code |
JWY
|
Combination Product (y/n) | N |
Reporter Country Code | GM |
PMA/PMN Number | K042392 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
foreign,health professional,u |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
10/30/2020 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 10/30/2020 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 10/01/2021 |
Device Catalogue Number | 412324 |
Device Lot Number | 1007622910 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 10/01/2020 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |