Brand Name | ACCURUS HIGH BRIGHTNESS ILLUMINATOR SYSTEM |
Type of Device | ENDOILLUMINATOR |
Manufacturer (Section D) |
ALCON-IRVINE TECH CTR |
15800 alton pkwy. |
irvine CA 92618 381 |
|
Manufacturer (Section G) |
ALCON MANUFACTURING, LTD. |
15800 alton pkwy. |
|
irvine CA 92618 381 |
|
Manufacturer Contact |
janet
moran
|
15800 alton pkwy. |
irvine, CA 92618-3818
|
8176152742
|
|
MDR Report Key | 3697587 |
MDR Text Key | 4266276 |
Report Number | 2028159-2014-00035 |
Device Sequence Number | 1 |
Product Code |
MPA
|
Combination Product (y/n) | N |
Reporter Country Code | BR |
PMA/PMN Number | K951627 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Other,Foreign |
Reporter Occupation |
Unknown
|
Type of Report
| Initial |
Report Date |
12/11/2013 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/08/2014 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | 8065750290 |
Other Device ID Number | 1.18-2.18 |
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 12/11/2013 |
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 |
|
|