Brand Name | MP40 |
Type of Device | MP40 |
Manufacturer (Section D) |
PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH |
hewlett-packard-str. 2, |
b1-3/d6 |
boblingen 71034 |
GM 71034 |
|
Manufacturer (Section G) |
PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH |
hewlett-packard-str. 2, |
b1-3/d6 |
boblingen 71034 |
GM
71034
|
|
Manufacturer Contact |
hauke
schik
|
hewlett-packard-str. 2, |
b1-3/d6 |
boblingen 71034
|
GM
71034
|
7031463203
|
|
MDR Report Key | 18766173 |
MDR Text Key | 336080744 |
Report Number | 9610816-2024-00093 |
Device Sequence Number | 1 |
Product Code |
DSI
|
Combination Product (y/n) | N |
Reporter Country Code | CH |
PMA/PMN Number | K151681 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,User Facility |
Reporter Occupation |
Nurse
|
Type of Report
| Initial,Followup |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 02/23/2024 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | 862115 |
Device Catalogue Number | 862115 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 02/28/2024 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 11/17/2011 |
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 |
Patient Outcome(s) |
Other;
|
|
|