Brand Name | ENTERPRISE 8000 |
Type of Device | BED, AC-POWERED ADJUSTABLE HOSPITAL |
Manufacturer (Section D) |
ARJOHUNTLEIGH POLSKA SP. Z O.O. |
ul. ks. piotra wawrzyniaka 2 |
komorniki PL-62 052 |
PL PL-62052 |
|
Manufacturer (Section G) |
ARJOHUNTLEIGH, A BRANCH OF ARJO LTD. MED. AB |
unit 3 britannia park, trident drive |
|
wednesbury WS10 7XB |
UK
WS10 7XB
|
|
Manufacturer Contact |
katarzyna
bobrow
|
ks. wawrzyniaka 2 |
komorniki 62-05-2
|
PL
62-052
|
668046472
|
|
MDR Report Key | 18524335 |
MDR Text Key | 333212128 |
Report Number | 3007420694-2024-00017 |
Device Sequence Number | 1 |
Product Code |
FNL
|
Combination Product (y/n) | N |
Reporter Country Code | NL |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
User Facility,Company Representative |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
02/15/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/17/2024 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Model Number | 8000BC42A11BH |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
No
|
Date Manufacturer Received | 12/21/2023 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 06/19/2008 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
|
|