Brand Name | STRATUS CS |
Type of Device | STRATUS CS |
Manufacturer (Section D) |
SIEMENS HEALTHCARE DIAGNOSTICS INC. - GLASGOW |
500 gbc drive |
po box 6101 |
newark DE 19714 |
|
Manufacturer (Section G) |
SIEMENS HEALTHCARE DIAGNOSTICS INC. |
62 flanders-bartley rd. |
|
flanders NY 07836 |
|
Manufacturer Contact |
felix
akinrinola
|
2 edgewater drive |
norwood, MA 02062
|
|
MDR Report Key | 18988899 |
MDR Text Key | 338753646 |
Report Number | 3002637618-2024-00023 |
Device Sequence Number | 1 |
Product Code |
MMI
|
UDI-Device Identifier | 00842768024863 |
UDI-Public | 00842768024863 |
Combination Product (y/n) | N |
Reporter Country Code | CA |
PMA/PMN Number | K051650 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
User Facility,Company Representative |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
03/27/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/27/2024 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | 10444834 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 02/26/2024 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
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 Age | 76 YR |
Patient Sex | Male |