Brand Name | UNKNOWN ENTERAL FEEDING |
Type of Device | PUMP, INFUSION, ENTERAL |
Manufacturer (Section D) |
CARDINAL HEALTH |
777 west street |
mansfield MA 02048 |
|
Manufacturer (Section G) |
CARDINAL HEALTH |
sragh industrial estate, co, t |
|
offaly |
EI
|
|
Manufacturer Contact |
jill
saraiva
|
777 west street |
mansfield, MA 02048
|
5086183640
|
|
MDR Report Key | 18192443 |
MDR Text Key | 328809405 |
Report Number | 9611018-2023-00634 |
Device Sequence Number | 1 |
Product Code |
LZH
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Other,Foreign,User Facility,Company Representative |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
01/11/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 11/22/2023 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Model Number | UNKNOWN ENTERAL FEEDING |
Device Catalogue Number | UNKNOWN ENTERAL FEEDING |
Device Lot Number | UNKNOWN |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
No
|
Date Manufacturer Received | 11/16/2023 |
Type of Device Usage |
A
|
Patient Sequence Number | 1 |
|
|