Brand Name | SERVO-U |
Type of Device | VENTILATOR, CONTINUOUS, FACILITY USE |
Manufacturer (Section D) |
MAQUET CRITICAL CARE AB |
roentgenvagen 2 |
solna |
|
Manufacturer (Section G) |
MAQUET CRITICAL CARE AB |
roentgenvagen 2 |
|
solna |
|
Manufacturer Contact |
caroline
kabbabe
|
roentgenvagen 2 |
solna
|
|
MDR Report Key | 18994311 |
MDR Text Key | 338913914 |
Report Number | 8010042-2024-00542 |
Device Sequence Number | 1 |
Product Code |
CBK
|
UDI-Device Identifier | 07325710001110 |
UDI-Public | (01)07325710001110(11)201002 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K201874 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,User Facility,Company Representative |
Reporter Occupation |
Biomedical Engineer
|
Type of Report
| Initial |
Report Date |
03/28/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/28/2024 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | SERVO-U |
Device Catalogue Number | 6694800 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 03/11/2024 |
Was Device Evaluated by Manufacturer? |
No
|
Date Device Manufactured | 10/02/2020 |
Is the Device Single Use? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |