Brand Name | ALLURA XPER FD |
Type of Device | INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM |
Manufacturer (Section D) |
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. |
veenpluis 6 |
best 5684 PC |
NL 5684 PC |
|
Manufacturer (Section G) |
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. |
veenpluis 6 |
|
best 5684 PC |
NL
5684 PC
|
|
Manufacturer Contact |
derrick
massuri
|
3000 minuteman rd |
andover, MA 01810
|
6172455900
|
|
MDR Report Key | 18649800 |
MDR Text Key | 334635817 |
Report Number | 3003768277-2024-00694 |
Device Sequence Number | 1 |
Product Code |
OWB
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K033737 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,User Facility,Company Representative |
Reporter Occupation |
Other
|
Type of Report
| Initial |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 02/06/2024 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | ALLURA XPER FD20 |
Device Catalogue Number | 722012 |
Was Device Available for Evaluation? |
Yes
|
Date Manufacturer Received | 01/08/2024 |
Date Device Manufactured | 06/19/2012 |
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 |