Brand Name | NGAGE NITINOL STONE EXTRACTOR |
Type of Device | FFL DISLODGER, STONE, BASKET, URETERAL, METAL |
Manufacturer (Section D) |
COOK INC |
750 daniels way |
bloomington IN 47404 |
|
Manufacturer (Section G) |
COOK INC |
750 daniels way |
|
bloomington IN 47404 |
|
Manufacturer Contact |
jason
crouch
|
750 daniels way |
bloomington, IN 47404
|
8123392235
|
|
MDR Report Key | 18965433 |
MDR Text Key | 338486517 |
Report Number | 1820334-2024-00410 |
Device Sequence Number | 1 |
Product Code |
FFL
|
UDI-Device Identifier | 10827002482941 |
UDI-Public | (01)10827002482941(17)261017(10)15710758 |
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Other,Foreign,Distributor |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
03/22/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/23/2024 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | NGE-017115 |
Device Lot Number | 15710758 |
Was Device Available for Evaluation? |
Yes
|
Date Manufacturer Received | 03/05/2024 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 10/17/2023 |
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 |