Brand Name | ATTAIN CLARITY |
Type of Device | CATHETER, FLOW DIRECTED |
Manufacturer (Section D) |
MEDTRONIC IRELAND |
parkmore business park west |
galway |
|
Manufacturer (Section G) |
MEDTRONIC CARDIAC RHYTHM HEART FAILURE |
8200 coral sea st ne |
|
mounds view MN 55112 |
|
Manufacturer Contact |
anne
schilling
|
8200 coral sea st ne |
mounds view, MN 55112
|
7635052036
|
|
MDR Report Key | 4834556 |
MDR Text Key | 5905710 |
Report Number | 9612164-2015-00942 |
Device Sequence Number | 1 |
Product Code |
DYG
|
Combination Product (y/n) | N |
Reporter Country Code | AS |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,Company Representative |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
03/06/2015 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 08/17/2016 |
Device Model Number | 6225I |
Device Catalogue Number | 6225I |
Device Lot Number | 0007261272 |
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
03/06/2015 |
Initial Date FDA Received | 06/10/2015 |
Date Device Manufactured | 08/18/2014 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Hospitalization;
|
Patient Age | 00067 YR |
|
|