Brand Name | HUDSON MICRO MIST NEBULIZER W/ELONG |
Type of Device | NEBULIZER (DIRECT PATIENT INTE |
Manufacturer (Section D) |
TELEFLEX MEDICAL |
morrisville NC |
|
Manufacturer (Section G) |
TELEFLEX MEDICAL |
parque industrial finsa |
|
nuevo laredo 88275 |
MX
88275
|
|
Manufacturer Contact |
marling
heaton
|
3015 carrington mill blvd |
morrisville 27560
|
|
MDR Report Key | 11870216 |
MDR Text Key | 252170558 |
Report Number | 3004365956-2021-00185 |
Device Sequence Number | 1 |
Product Code |
CAF
|
UDI-Device Identifier | 14026704670892 |
UDI-Public | 14026704670892 |
Combination Product (y/n) | N |
Reporter Country Code | CH |
PMA/PMN Number | K930525 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
distributor,foreign,user faci |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
05/08/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 05/24/2021 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Expiration Date | 12/17/2023 |
Device Model Number | IPN914789 |
Device Catalogue Number | 1886 |
Device Lot Number | 74M1802249 |
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 05/08/2021 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 12/18/2018 |
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 |
Treatment | N/A. |