Brand Name | SOPRANO ICE |
Type of Device | SOPRANO ICE |
Manufacturer (Section D) |
ALMA LASERS LTD |
18 haharash street |
north industrial park |
caesarea, 30798 95 |
IS 3079895 |
|
Manufacturer (Section G) |
ALMA LASERS LTD |
18 haharash street |
north industrial park |
caesarea, 30798 95 |
IS
3079895
|
|
Manufacturer Contact |
avi
hirshnzon
|
18 haharash street |
north industrial park |
caesarea, 30798-95
|
IS
3079895
|
|
MDR Report Key | 18555839 |
MDR Text Key | 333398540 |
Report Number | 3004167969-2024-00002 |
Device Sequence Number | 1 |
Product Code |
GEX
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K172193 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Distributor |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
01/21/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/22/2024 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Catalogue Number | AASP13021204 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 01/07/2024 |
Was Device Evaluated by Manufacturer? |
No
|
Date Device Manufactured | 11/07/2022 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
Hospitalization;
|
Patient Sex | Female |
|
|