Brand Name | ANGIOJET ZELANTEDVT |
Type of Device | CATHETER, EMBOLECTOMY |
Manufacturer (Section D) |
BOSTON SCIENTIFIC CORPORATION |
two scimed place |
maple grove MN 55311 |
|
MDR Report Key | 7620029 |
MDR Text Key | 111736178 |
Report Number | 7620029 |
Device Sequence Number | 1 |
Product Code |
DXE
|
UDI-Device Identifier | 08714729904724 |
UDI-Public | (01)08714729904724(17)200409(10)22083975 |
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
05/29/2018 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 06/20/2018 |
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Expiration Date | 04/09/2020 |
Device Model Number | 114610-001 |
Device Lot Number | 22083975 |
Is the Reporter a Health Professional? |
No
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 05/29/2018 |
Event Location |
Hospital
|
Date Report to Manufacturer | 05/29/2018 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|