Brand Name | GAS MODULE III |
Type of Device | GAS MODULE |
Manufacturer (Section D) |
MINDRAY DS USA, INC. |
mahwah NJ |
|
Manufacturer Contact |
wisara
sethachutkul
|
800 macarthur blvd. |
mahwah, NJ 07430
|
2019958045
|
|
MDR Report Key | 4319969 |
MDR Text Key | 16855871 |
Report Number | 2221819-2014-00893 |
Device Sequence Number | 1 |
Product Code |
BZK
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K062754 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,User Facility,Company Representative |
Reporter Occupation |
Unknown
|
Type of Report
| Initial |
Report Date |
10/07/2014 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 11/25/2014 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 10/07/2014 |
Was Device Evaluated by Manufacturer? |
Yes
|
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
|
|