Brand Name | UNOMETER SAFETI PLUS W/ LUER-LOCK AND LUER-SLIP |
Manufacturer (Section D) |
UNOMEDICAL LTD. |
zavodskaya street 50 |
fanipol |
dzerzhinsk district minsk region 00002 2275 |
BO 0000222750 |
|
Manufacturer Contact |
matthew
walenciak, assoc dir
|
211 american ave |
greensboro, NC 27409-0000
|
9083779293
|
|
MDR Report Key | 4355742 |
MDR Text Key | 5141262 |
Report Number | 3007966929-2014-00132 |
Device Sequence Number | 1 |
Product Code |
EXR
|
Combination Product (y/n) | N |
Reporter Country Code | CI |
PMA/PMN Number | K896732 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,User Facility |
Reporter Occupation |
Nurse
|
Type of Report
| Initial |
Report Date |
11/19/2014 |
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 Expiration Date | 02/01/2019 |
Device Model Number | 15810120190 |
Device Lot Number | 154054 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
11/19/2014 |
Initial Date FDA Received | 12/18/2014 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 03/01/2014 |
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 |
|
|