Brand Name | EASYTOUCH |
Type of Device | SYRINGES |
Manufacturer (Section D) |
FEEL TECH BIO CO., LTD. |
1079-20, charyeongggogae-ro |
gwangdeok-myeon, chungcheongnamdo 31223 |
KS 31223 |
|
Manufacturer (Section G) |
FEEL TECH BIO CO., LTD. |
1079-20, charyeongggogae-ro |
|
gwangdeok-myeon, chungcheongnamdo 31223 |
KS
31223
|
|
Manufacturer Contact |
troy
smith
|
8695 seward road |
fairfield, OH 45011
|
|
MDR Report Key | 18619376 |
MDR Text Key | 334669309 |
Report Number | 3005798905-2024-03161 |
Device Sequence Number | 1 |
Product Code |
FMF
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K102178 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Consumer |
Reporter Occupation |
Non-Healthcare Professional
|
Remedial Action |
Replace |
Type of Report
| Initial,Followup |
Report Date |
01/31/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/31/2024 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Lay User/Patient
|
Device Catalogue Number | 829155 |
Device Lot Number | 60972A |
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 01/25/2024 |
Was Device Evaluated by Manufacturer? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
|
|