Brand Name | HUDSON FILTER ARIOS |
Type of Device | FILTER, BACTERIAL, BREATHING-C |
Manufacturer (Section D) |
TELEFLEX MEDICAL SDN. BHD. |
perak, west malaysia |
|
Manufacturer (Section G) |
TELEFLEX MEDICAL SDN. BHD. |
lot no : pt2577 jalen perusahaan |
4 kamunting industrial estate |
perak, west malaysia 34600 |
MY
34600
|
|
Manufacturer Contact |
katharine
tarpley
|
3015 carrington mill blvd |
morrisville, NC 27560
|
9193614124
|
|
MDR Report Key | 15224082 |
MDR Text Key | 302960471 |
Report Number | 8040412-2022-00232 |
Device Sequence Number | 1 |
Product Code |
BYD
|
Combination Product (y/n) | N |
Reporter Country Code | SP |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,User Facility,Company Representative,Distributor |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
07/28/2022 |
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 | IPN043749 |
Device Catalogue Number | 19211 |
Device Lot Number | KMH21L0225 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
07/28/2022 |
Initial Date FDA Received | 08/15/2022 |
Supplement Dates Manufacturer Received | 09/14/2022
|
Supplement Dates FDA Received | 09/14/2022
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
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 |
|
|