Brand Name | OSTEORAPTOR 2.9 W/ 2 UB WHITE / BLUE |
Type of Device | FASTENER, FIXATION, BIODEGRADABLE, SOFT TISSUE |
Manufacturer (Section D) |
SMITH & NEPHEW, INC. |
130 forbes boulevard |
mansfield MA 02048 |
|
Manufacturer (Section G) |
SMITH & NEPHEW, INC. |
130 forbes boulevard |
|
mansfield MA 02048 |
|
Manufacturer Contact |
jim
gonzales
|
7000 w william cannon drive |
austin, TX 78735
|
|
MDR Report Key | 6902629 |
MDR Text Key | 87855374 |
Report Number | 1219602-2017-01220 |
Device Sequence Number | 1 |
Product Code |
MAI
|
UDI-Device Identifier | 03596010615565 |
UDI-Public | (01)03596010615565(17)200715(10)50557500 |
Combination Product (y/n) | N |
Reporter Country Code | KS |
PMA/PMN Number | K151105 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,foreig |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
10/18/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 09/28/2017 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 07/15/2020 |
Device Model Number | 72201995 |
Device Catalogue Number | 72201995 |
Device Lot Number | 50557500 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
No
|
Date Manufacturer Received | 10/18/2017 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 07/15/2015 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |