Brand Name | STIMULAN |
Type of Device | STIMULAN |
Manufacturer (Section D) |
BIOCOMPOSITES LTD |
ic4 |
keele, science park |
stoke-on-trent, staffordshire ST55N L |
UK ST55NL |
|
Manufacturer (Section G) |
BIOCOMPOSITES LTD |
ic4 |
keele, science park |
stoke-on-trent, staffordshire ST55N L |
UK
ST55NL
|
|
Manufacturer Contact |
kirsty-louise
marrow
|
ic4 |
keele, science park |
stoke-on-trent, staffordshire ST55N-L
|
UK
ST55NL
|
|
MDR Report Key | 18674904 |
MDR Text Key | 335004481 |
Report Number | 9617083-2024-00001 |
Device Sequence Number | 1 |
Product Code |
MQV
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
02/09/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 02/09/2024 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Was Device Evaluated by Manufacturer? |
No
|
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Hospitalization;
|
Patient Weight | 40 KG |
|
|