Brand Name | ARROW CATH PKGD: WEDGE 5 FR 60CM |
Type of Device | CATHETER, FLOW DIRECTED |
Manufacturer (Section D) |
ARROW INTERNATIONAL LLC |
morrisville NC |
|
Manufacturer (Section G) |
ARROW INTERNATIONAL INC. |
16 elizabeth drive |
|
chelmsford MA 01824 |
|
Manufacturer Contact |
taliah
shabazz
|
3015 carrington mill blvd |
morrisville 27560
|
|
MDR Report Key | 18672745 |
MDR Text Key | 334981255 |
Report Number | 3010532612-2024-00116 |
Device Sequence Number | 1 |
Product Code |
DYG
|
Combination Product (y/n) | N |
Reporter Country Code | KS |
PMA/PMN Number | K892530 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,User Facility,Company Representative,Distributor |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
01/23/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 02/08/2024 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 10/31/2023 |
Device Catalogue Number | AI-07123 |
Device Lot Number | 16F22F0034 |
Was Device Available for Evaluation? |
Yes
|
Date Manufacturer Received | 01/23/2024 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 06/14/2022 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
|
|