Brand Name | ADULT BI-LEVEL/CPAP INSPIRATORY-HEATED BREATHING CIRCUIT |
Type of Device | BTT |
Manufacturer (Section D) |
FISHER & PAYKEL HEALTHCARE LIMITED |
15 maurice paykel place |
east tamaki |
auckland, auckland 2013 |
NZ 2013 |
|
Manufacturer (Section G) |
FISHER & PAYKEL HEALTHCARE LIMITED |
15 maurice paykel place |
east tamaki |
auckland, auckland 2013 |
NZ
2013
|
|
Manufacturer Contact |
raymond
yan
|
15365 barranca parkway |
irvine, CA 92618-2216
|
|
MDR Report Key | 4271905 |
MDR Text Key | 5029824 |
Report Number | 9611451-2014-00880 |
Device Sequence Number | 1 |
Product Code |
BTT
|
Combination Product (y/n) | N |
Reporter Country Code | JA |
PMA/PMN Number | SEE H10 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,User Facility,Company Representative |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
11/04/2014 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | RT319 |
Device Catalogue Number | RT319 |
Device Lot Number | 140611 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 11/17/2014 |
Initial Date Manufacturer Received |
11/04/2014 |
Initial Date FDA Received | 11/23/2014 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 06/11/2014 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Treatment | FISHER & PAYKEL HEALTHCARE MR850 HUMIDIFIER |