Brand Name | INQUIRY¿ STEERABLE DIAGNOSTIC CATHETER |
Type of Device | CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING |
Manufacturer (Section D) |
ST. JUDE MEDICAL |
2375 morse ave |
irvine CA 92614 |
|
Manufacturer (Section G) |
ST. JUDE MEDICAL |
2375 morse ave |
|
irvine CA 92614 |
|
Manufacturer Contact |
janna
parks
|
5050 nathan lane north |
plymouth, MN 55442
|
6517565400
|
|
MDR Report Key | 16200665 |
MDR Text Key | 308469686 |
Report Number | 2030404-2023-00003 |
Device Sequence Number | 1 |
Product Code |
DRF
|
UDI-Device Identifier | 05414734302975 |
UDI-Public | 05414734302975 |
Combination Product (y/n) | N |
Reporter Country Code | SN |
PMA/PMN Number | K961924 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,Company Representative |
Reporter Occupation |
Physician
|
Type of Report
| Initial,Followup |
Report Date |
02/13/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/19/2023 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | IBI-81104 |
Device Catalogue Number | IBI-81104 |
Device Lot Number | 8541491 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
No
|
Date Manufacturer Received | 02/02/2023 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 07/08/2022 |
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 |
|
|