Brand Name | CORPATH 200 SYSTEM |
Type of Device | CORPATH 200 SYSTEM |
Manufacturer (Section D) |
CORINDUS, INC. |
309 waverley oaks road |
suite 105 |
waltham MA 02452 |
|
Manufacturer (Section G) |
CORINDUS, INC. |
309 waverley oaks road |
suite 105 |
waltham MA 02452 |
|
Manufacturer Contact |
robert
lavado
|
309 waverley oaks road |
suite 105 |
waltham, MA 02452
|
5086533335
|
|
MDR Report Key | 6227199 |
MDR Text Key | 64016282 |
Report Number | 3007822508-2016-00025 |
Device Sequence Number | 1 |
Product Code |
DXX
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K120834 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,user f |
Reporter Occupation |
Other
|
Remedial Action |
Repair |
Type of Report
| Initial,Followup |
Report Date |
02/01/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/05/2017 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Physician
|
Device Catalogue Number | 160-00043 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 12/21/2016 |
Is the Reporter a Health Professional? |
No
|
Date Manufacturer Received | 12/09/2016 |
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 |
Reuse
|
Patient Sequence Number | 1 |
|
|