Brand Name | GAS MODULE |
Type of Device | GAS MODULE |
Manufacturer (Section D) |
MINDRAY BIO-MED ELECTRONICS CO. LTD. |
nashan |
shenzhen |
CH |
|
Manufacturer (Section G) |
MINDRAY BIO-MED ELECTRONICS CO. LTD. |
keji 12th road south |
nanshan |
shenzhen 5180 57 |
CH
518057
|
|
Manufacturer Contact |
patrice
soriano
|
800 macarthur blvd. |
mahwah, NJ 07430
|
2019958026
|
|
MDR Report Key | 4810958 |
MDR Text Key | 5925835 |
Report Number | 2221819-2015-00233 |
Device Sequence Number | 1 |
Product Code |
BZK
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K062754 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,User Facility,Company Representative |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
04/14/2015 |
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
|
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Distributor Facility Aware Date | 04/14/2015 |
Initial Date Manufacturer Received |
04/14/2015
|
Initial Date FDA Received | 05/29/2015 |
Was Device Evaluated by Manufacturer? |
Yes
|
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
|
|