Brand Name | MORPHEUS8 |
Type of Device | GEI |
Manufacturer (Section D) |
INMODE LTD. |
tavor building (pob 533) |
shaar yokneam |
yokneam northern, north 20692 06 |
IS 2069206 |
|
Manufacturer (Section G) |
INMODE LTD. |
tavor building (pob 533) |
shaar yokneam |
yokneam northern, north 20692 06 |
IS
2069206
|
|
Manufacturer Contact |
lina
korsensky
|
tavor building (pob 533) |
shaar yokneam |
yokneam northern, north 20692-06
|
IS
2069206
|
|
MDR Report Key | 19104543 |
MDR Text Key | 340224154 |
Report Number | 3010511300-2024-00495 |
Device Sequence Number | 1 |
Product Code |
GEI
|
UDI-Device Identifier | 07290016633412 |
UDI-Public | 07290016633412 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K210492 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
User Facility |
Reporter Occupation |
Nurse
|
Type of Report
| Initial |
Report Date |
04/15/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 04/15/2024 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Model Number | AG607401A |
Device Catalogue Number | AG607401A |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 03/22/2024 |
Was Device Evaluated by Manufacturer? |
No
|
Date Device Manufactured | 06/22/2022 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|
Patient Age | 69 YR |
Patient Sex | Female |
Patient Ethnicity | Non Hispanic |
Patient Race | White |
|
|