Brand Name | ETEST® CEFTAZIDIME TZ |
Type of Device | ETEST® CEFTAZIDIME TZ |
Manufacturer (Section D) |
BIOMERIEUX, SA |
3 route de port michaud |
la balme les grottes isere, 38390 |
FR 38390 |
|
Manufacturer (Section G) |
BIOMERIEUX, SA |
3 route de port michaud |
|
la balme les grottes isere, 38390 |
FR
38390
|
|
Manufacturer Contact |
ryan
lemelle
|
595 anglum road |
hazelwood, MO 63042
|
3147318582
|
|
MDR Report Key | 5488559 |
MDR Text Key | 39940983 |
Report Number | 3002769706-2016-00045 |
Device Sequence Number | 1 |
Product Code |
JWY
|
Combination Product (y/n) | N |
Reporter Country Code | CA |
PMA/PMN Number | K971694 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
foreign,health professional,u |
Reporter Occupation |
Health Professional
|
Type of Report
| Initial |
Report Date |
02/25/2016 |
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 | 09/07/2017 |
Device Catalogue Number | 412293 |
Device Lot Number | 1004280350 |
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
02/25/2016
|
Initial Date FDA Received | 03/09/2016 |
Was Device Evaluated by Manufacturer? |
No
|
Date Device Manufactured | 09/08/2015 |
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 |
|
|