Brand Name | STATSPIN SSVT-1 CENTRIFUGE |
Type of Device | CENTRIFUGES (MICRO, ULTRA, REFRIGERATED) FOR CLINICAL USE |
Manufacturer (Section D) |
IRIS INTERNATIONAL |
9172 eton avenue |
chatsworth CA 91311 |
|
Manufacturer (Section G) |
IRIS INTERNATIONAL |
9172 eton avenue |
|
chatsworth CA 91311 |
|
Manufacturer Contact |
gopal
mohanty
|
9172 eton avenue |
chatsworth, CA 91311
|
8185277379
|
|
MDR Report Key | 5319882 |
MDR Text Key | 34158153 |
Report Number | 2023446-2015-00308 |
Device Sequence Number | 1 |
Product Code |
JQC
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
distributor,health profession |
Reporter Occupation |
Other Health Care Professional
|
Remedial Action |
Notification |
Type of Report
| Initial |
Report Date |
12/11/2015 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 12/22/2015 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | X00-003917-001 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 12/11/2015 |
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 12/11/2015 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 05/21/2007 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Removal/Correction Number | FA-14002 |
Patient Sequence Number | 1 |