Brand Name | VENTR CATH PVC 2 POS LST 18 FR |
Type of Device | CATHETER, CANNULA AND TUBING, VASCULAR, CARDIOPULMONARY BYPASS |
Manufacturer (Section D) |
SORIN GROUP USA, INC. |
14401 west 65th way |
arvada CO 80004 |
|
Manufacturer (Section G) |
SORIN GROUP USA, INC. |
14401 w 65th way |
|
arvada CO 80004 |
|
Manufacturer Contact |
carrie
wood
|
14401 w 65th way |
arvada, CO 80004
|
3034676461
|
|
MDR Report Key | 4991193 |
MDR Text Key | 22667246 |
Report Number | 1718850-2015-00280 |
Device Sequence Number | 1 |
Product Code |
DWF
|
Combination Product (y/n) | N |
Reporter Country Code | IT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
health professional |
Reporter Occupation |
Unknown
|
Remedial Action |
Other |
Type of Report
| Followup,Followup |
Report Date |
07/10/2015 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 08/07/2015 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 04/30/2018 |
Device Catalogue Number | VT-53218 |
Device Lot Number | 1509200087 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 10/15/2015 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 04/01/2015 |
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 |
|
|