Brand Name | ENFLOW |
Type of Device | ENFLOW DISPOSABLE IV FLUID/BLOOD WARMER CARTRIDGE MODEL 200 |
Manufacturer (Section D) |
VYAIRE MEDICAL, INC. |
22745 savi ranch parkway |
yorba linda CA 92887 |
|
Manufacturer (Section G) |
HEALTHCARE TECHNOLOGY INTERNATIONAL LTD. |
15/f block b, veristrong |
indusry ctr 36 au pui wan st |
fotan, |
HK
|
|
Manufacturer Contact |
stanley
tan
|
22745 savi ranch pkwy |
yorba linda, CA 92887
|
7149193324
|
|
MDR Report Key | 8422154 |
MDR Text Key | 139111359 |
Report Number | 2050001-2019-00018 |
Device Sequence Number | 1 |
Product Code |
LGZ
|
UDI-Device Identifier | 10885403286155 |
UDI-Public | (01)10885403286155 |
Combination Product (y/n) | N |
Reporter Country Code | GM |
PMA/PMN Number | K130867 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
foreign,study |
Reporter Occupation |
Other Health Care Professional
|
Remedial Action |
Recall |
Type of Report
| Initial |
Report Date |
03/11/2019 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/14/2019 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | 980200EU |
Device Catalogue Number | 980200EU |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 03/11/2019 |
Was Device Evaluated by Manufacturer? |
Yes
|
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
Yes
|
Type of Device Usage |
Unknown
|
Removal/Correction Number | 3008959444-3/13/19-001-R |
Patient Sequence Number | 1 |
|
|