Brand Name | 2.7MM ZIP ANCHOR, 1 USP #0 BRAIDED POLY SUTURE (1BX) |
Type of Device | STAPLE, FIXATION, BONE |
Manufacturer (Section D) |
STRYKER ENDOSCOPY-SAN JOSE |
5900 optical court |
san jose CA 95138 |
|
Manufacturer (Section G) |
STRYKER ENDOSCOPY-SAN JOSE |
5900 optical court |
|
san jose CA 95138 |
|
Manufacturer Contact |
thomas
shafer
|
5900 optical court |
san jose, CA 95138
|
4087542000
|
|
MDR Report Key | 4661695 |
MDR Text Key | 20145027 |
Report Number | 0002936485-2015-00254 |
Device Sequence Number | 1 |
Product Code |
JDR
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K951267 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Company Representative |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
11/26/2014 |
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 Catalogue Number | 3910-002-027 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 12/29/2014 |
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
03/12/2015
|
Initial Date FDA Received | 04/06/2015 |
Was Device Evaluated by Manufacturer? |
Yes
|
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 |
|
|