Brand Name | ALLURA XPER FD10/10 |
Manufacturer (Section D) |
PHILIPS HEALTHCARE |
veenpluis 4-6 |
best 5680 DA |
NL 5680DA |
|
Manufacturer (Section G) |
PHILIPS HEALTHCARE - IMAGING SYSTEMS |
3000 minuteman rd |
ms 4-135 |
andover MA 01810 |
|
Manufacturer Contact |
dominic
siewko
|
veenpluis 4-6 |
best 5680
|
NL
5680
|
9786597936
|
|
MDR Report Key | 3750525 |
MDR Text Key | 18734043 |
Report Number | 3003768277-2014-00008 |
Device Sequence Number | 1 |
Product Code |
IZI
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K031333 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,Company Representative |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
01/13/2014 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/31/2014 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | 722005 |
Device Catalogue Number | 722005 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 01/13/2014 |
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 |