Brand Name | INVISX LOCK |
Type of Device | PLATE, CRANIOPLASTY, PREFORMED, NON-ALTERABLE |
Manufacturer (Section D) |
MEDTRONIC NEUROSURGERY |
5290 california ave |
irvine CA 92617 |
|
Manufacturer (Section G) |
MEDTRONIC NEUROSURGERY |
5290 california ave |
|
irvine CA 92617 |
|
Manufacturer Contact |
glen
belmer
|
9775 toledo way |
irvine, CA 92618
|
6122713209
|
|
MDR Report Key | 12799242 |
MDR Text Key | 280683418 |
Report Number | 2021898-2021-00194 |
Device Sequence Number | 1 |
Product Code |
GXN
|
UDI-Device Identifier | 00643169466296 |
UDI-Public | 00643169466296 |
Combination Product (y/n) | N |
Reporter Country Code | TW |
PMA/PMN Number | K010361 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,Distributor |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
11/11/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 11/11/2021 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 06/30/2023 |
Device Model Number | 60101 |
Device Catalogue Number | 60101 |
Device Lot Number | E48857 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 11/10/2021 |
Date Device Manufactured | 08/02/2018 |
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 |
Patient Outcome(s) |
Required Intervention;
Hospitalization;
|