Brand Name | ARC INSTATEMP |
Type of Device | THERMOMETER, ELECTRONIC, CLINICAL |
Manufacturer (Section D) |
ARC DEVICES USA, INC. |
1200 n. federal highway |
ste 207 |
boca raton FL 33432 |
|
Manufacturer (Section G) |
ARC DEVICES USA INC. |
1200 n. federal highway |
ste 207 |
boca raton FL 33432 |
|
Manufacturer Contact |
mary
greenawalt
|
1200 n. federal highway |
ste 207 |
boca raton, FL 33432
|
5612826074
|
|
MDR Report Key | 7021224 |
MDR Text Key | 92660354 |
Report Number | 3011197139-2017-00112 |
Device Sequence Number | 1 |
Product Code |
FLL
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K152905 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
health professional |
Reporter Occupation |
Emergency Medical Technician
|
Type of Report
| Initial |
Report Date |
11/10/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 11/10/2017 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Emergency Medical Technician
|
Device Model Number | CF1-0196 |
Device Catalogue Number | CF1-0196 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
No
|
Date Manufacturer Received | 10/16/2017 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 07/16/2015 |
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 |