Brand Name | BD PREPSTAIN¿ |
Type of Device | PROCESSOR, CERVICAL CYTOLOGY SLIDE, AUTOMATED |
Manufacturer (Section D) |
TRIPATH IMAGING, INC |
1022 corporate park drive |
mebane NC 27302 |
|
Manufacturer (Section G) |
TRIPATH IMAGING, INC |
1022 corporate park drive |
|
mebane NC 27302 |
|
Manufacturer Contact |
phillip
emmert
|
5859 farinon drive |
san antonio, TX 78249
|
8448235433
|
|
MDR Report Key | 16747802 |
MDR Text Key | 313415975 |
Report Number | 3008007472-2023-00002 |
Device Sequence Number | 1 |
Product Code |
MKQ
|
UDI-Device Identifier | 00382904901004 |
UDI-Public | 00382904901004 |
Combination Product (y/n) | N |
Reporter Country Code | CH |
PMA/PMN Number | P970018 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Other,Foreign,User Facility |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial,Followup |
Report Date |
05/12/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 04/14/2023 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Other
|
Device Model Number | 490100 |
Device Catalogue Number | 490100 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 05/12/2023 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 01/28/2015 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
|
|