Brand Name | ARROW EPIDURAL CATHETERIZATION SET: 19 GA |
Type of Device | ANESTHESIA CONDUCTION CATHETER |
Manufacturer (Section D) |
ARROW INTERNATIONAL LLC |
morrisville NC |
|
Manufacturer (Section G) |
ARROW INTERNATIONAL CR, A.S. |
jamska 2359/47 |
|
zdar nad sazavou 591 0 1 |
EZ
591 01
|
|
Manufacturer Contact |
katharine
tarpley
|
3015 carrington mill blvd |
morrisville, NC 27560
|
9194332672
|
|
MDR Report Key | 16638227 |
MDR Text Key | 312311135 |
Report Number | 3006425876-2023-00367 |
Device Sequence Number | 1 |
Product Code |
BSO
|
UDI-Device Identifier | 40801902128407 |
UDI-Public | 40801902128407 |
Combination Product (y/n) | N |
Reporter Country Code | CH |
PMA/PMN Number | K140110 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,User Facility,Company Representative |
Reporter Occupation |
Physician
|
Type of Report
| Initial,Followup |
Report Date |
03/13/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/29/2023 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 11/30/2023 |
Device Model Number | IPN046378 |
Device Catalogue Number | EC-05400-E |
Device Lot Number | 71F21L2281 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 04/28/2023 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 12/01/2021 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
A
|
Patient Sequence Number | 1 |
Treatment | NONE REPORTED; NONE REPORTED |