Brand Name | OPTILENE 4/0 (1,5) 75CM HR17 CV RCP |
Type of Device | SUTURE |
Manufacturer (Section D) |
B. BRAUN SURGICAL SA |
121 carretera de terrassa |
rubi, 08191 |
SP 08191 |
|
Manufacturer (Section G) |
B. BRAUN SURGICAL SA |
121 carretera de terrassa |
|
rubi, 08191 |
SP
08191
|
|
Manufacturer Contact |
nicole
broyles
|
615 lambert pointe drive |
hazelwood, MO 63042
|
3145515988
|
|
MDR Report Key | 8148353 |
MDR Text Key | 130045727 |
Report Number | 3003639970-2018-00753 |
Device Sequence Number | 1 |
Product Code |
GAW
|
Combination Product (y/n) | N |
Reporter Country Code | HR |
PMA/PMN Number | K133890 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
foreign,other |
Reporter Occupation |
Non-Healthcare Professional
|
Type of Report
| Initial |
Report Date |
12/10/2018 |
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 |
No Information
|
Device Expiration Date | 05/17/2023 |
Device Model Number | C3090013 |
Device Catalogue Number | C3090013 |
Device Lot Number | 118204 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 11/28/2018 |
Distributor Facility Aware Date | 11/23/2018 |
Initial Date Manufacturer Received |
11/19/2018
|
Initial Date FDA Received | 12/10/2018 |
Was Device Evaluated by Manufacturer? |
Yes
|
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 |
|
|