Brand Name | SMITHS MEDICAL MEDEX HIGH PRESSURE TUBING |
Type of Device | CONNECTOR, BLOOD TUBING, INFUSION T |
Manufacturer (Section D) |
SMITHS MEDICAL ASD, INC. |
6000 nathan lane n |
minneapolis MN 55442 |
|
MDR Report Key | 9194190 |
MDR Text Key | 164908273 |
Report Number | 3012307300-2019-05752 |
Device Sequence Number | 1 |
Product Code |
FKB
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
foreign,user facility |
Type of Report
| Initial,Followup |
Report Date |
12/10/2019 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 10/15/2019 |
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Catalogue Number | MX693P1CZ |
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 11/20/2019 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
|
|