Brand Name | EP IMPLANT TRAY |
Type of Device | TRAY, SURGICAL |
Manufacturer (Section D) |
MEDICAL ACTION INDUSTRIES, INC. |
25 heywood rd |
arden NC 28704 |
|
MDR Report Key | 4093809 |
MDR Text Key | 21733836 |
Report Number | 4093809 |
Device Sequence Number | 1 |
Product Code |
FSM
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Type of Report
| Initial |
Report Date |
09/11/2014 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 09/11/2014 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
*
|
Device Operator |
Invalid Data
|
Device Catalogue Number | ORHS070-12 |
Was Device Available for Evaluation? |
No
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 09/11/2014 |
Event Location |
Hospital
|
Date Report to Manufacturer | 09/16/2014 |
Patient Sequence Number | 1 |
|
|