Brand Name | MEDTRONIC, INC. |
Type of Device | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES |
Manufacturer (Section D) |
MEDTRONIC, INC. |
2300 berkshire ln n |
plymouth MN 55441 |
|
MDR Report Key | 17208299 |
MDR Text Key | 317935220 |
Report Number | 17208299 |
Device Sequence Number | 1 |
Product Code |
GEI
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Risk Manager
|
Type of Report
| Initial |
Report Date |
06/05/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 06/27/2023 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | CF7-7-60 |
Device Lot Number | 221780236 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
No
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 06/05/2023 |
Event Location |
Hospital
|
Date Report to Manufacturer | 06/27/2023 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
|
|