Brand Name | NA |
Type of Device | SCALPEL, ULTRASONIC, REPROCESSED |
Manufacturer (Section D) |
STRYKER SUSTAINABILITY SOLUTIONS LAKELAND |
5307 great oak drive |
lakeland FL 33815 |
|
Manufacturer (Section G) |
STRYKER SUSTAINABILITY SOLUTIONS LAKELAND |
5307 great oak drive |
|
lakeland FL 33815 |
|
Manufacturer Contact |
moira
barton varty
|
1810 w. drake drive |
tempe, AZ 85283
|
8888883433
|
|
MDR Report Key | 5208476 |
MDR Text Key | 30986927 |
Report Number | 0001056128-2015-00098 |
Device Sequence Number | 1 |
Product Code |
NLQ
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K133672 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
health professional |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
10/14/2015 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 11/06/2015 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 08/04/2016 |
Device Model Number | HAR36 |
Device Catalogue Number | HAR36RR |
Device Lot Number | 3828331 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 10/26/2015 |
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 11/03/2015 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 08/04/2015 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
Yes
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Patient Age | 53 YR |