Brand Name | CUSTOM DEFINED DISPOSABLE PRESSURE TRANSDUCER |
Type of Device | TRANSDUCER, PRESSURE, CATHETER TIP |
Manufacturer (Section D) |
EDWARDS LIFESCIENCES DR |
parque industrial de itabo |
carr. sanchez km 18.5 |
haina, san cristobal |
DR |
|
Manufacturer (Section G) |
EDWARDS LIFESCIENCES DR |
parque industrial de itabo |
carr. sanchez km 18.5 |
haina, san cristobal |
DR
|
|
Manufacturer Contact |
lynn
selawski
|
1 edwards way |
irvine, CA 92614
|
9497564386
|
|
MDR Report Key | 4359005 |
MDR Text Key | 17260085 |
Report Number | 2015691-2014-03129 |
Device Sequence Number | 1 |
Product Code |
DXO
|
Combination Product (y/n) | N |
Reporter Country Code | FR |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,User Facility,Company Representative |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
12/02/2014 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 12/23/2014 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | T100671B |
Device Lot Number | 59790475 |
Was Device Available for Evaluation? |
Yes
|
Date Manufacturer Received | 12/02/2014 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |