Brand Name | ACUSON |
Type of Device | DIAGNOSTIC ULTRASOUND DEVICE |
Manufacturer (Section D) |
SIEMENS MEDICAL SOLUTIONS USA, INC. |
685 east middlefield road |
mountain view CA 94043 |
|
Manufacturer (Section G) |
SIEMENS MEDICAL SOLUTIONS USA, INC. |
685 east middlefield road |
|
mountain view CA 94043 |
|
Manufacturer Contact |
karen
smith
|
685 east middlefield road |
mountain view, CA 94043
|
6509699112
|
|
MDR Report Key | 5921178 |
MDR Text Key | 54431124 |
Report Number | 3009498591-2016-00329 |
Device Sequence Number | 1 |
Product Code |
ITX
|
Combination Product (y/n) | N |
Reporter Country Code | JA |
PMA/PMN Number | K142628 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,foreig |
Reporter Occupation |
Service and Testing Personnel
|
Type of Report
| Initial |
Report Date |
08/31/2016 |
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 Model Number | Z6MS TRANSDUCER |
Device Catalogue Number | 10436113 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
08/08/2016
|
Initial Date FDA Received | 09/01/2016 |
Was Device Evaluated by Manufacturer? |
No
|
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |