Brand Name | RAD-8, HORIZONTAL |
Manufacturer (Section D) |
MASIMO CORPORATION |
40 parker |
irvine CA 92618 |
|
Manufacturer (Section G) |
INDUSTRIAL VALLERA DE MEXICALI, S.A. DE C.V. |
calzada del oro no. 2001 |
parque industrial palaco |
|
|
Manufacturer Contact |
jodi
swindle
|
40 parker |
irvine, CA 92618
|
9492977000
|
|
MDR Report Key | 4081084 |
MDR Text Key | 4827784 |
Report Number | 2031172-2014-00156 |
Device Sequence Number | 1 |
Product Code |
DQA
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K092838 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
User Facility |
Reporter Occupation |
Not Applicable
|
Type of Report
| Initial |
Report Date |
08/01/2014 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 08/28/2014 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Other
|
Device Model Number | 9224 |
Device Catalogue Number | 9224 |
Other Device ID Number | 22595 |
Was Device Available for Evaluation? |
Yes
|
Date Returned to Manufacturer | 08/07/2014 |
Is the Reporter a Health Professional? |
No
|
Date Manufacturer Received | 07/30/2014 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 02/01/2011 |
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 |
|
|