Brand Name | MIGHTY BLISS |
Type of Device | ELECTRIC MASSAGER |
Manufacturer (Section D) |
XIAMEN HEALTHPAL ELECTRONIC CO,.LTD. |
no.148 binglang xili , siming |
no.170 siming park tongan dist |
xiamen, fujian 36110 0 |
CH 361100 |
|
MDR Report Key | 16504174 |
MDR Text Key | 310896649 |
Report Number | 3016774562-2023-00634 |
Device Sequence Number | 1 |
Product Code |
ISA
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Distributor
|
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
03/01/2023,03/08/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/08/2023 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Catalogue Number | B07GJY3J5B |
Date Report to Manufacturer | 03/01/2023 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
|
|