Brand Name | SONOPET IQ IRRIGATION SUCTION CASSETTE |
Type of Device | INSTRUMENT, ULTRASONIC SURGICAL |
Manufacturer (Section D) |
STRYKER INSTRUMENTS-KALAMAZOO |
4100 east milham avenue |
kalamazoo MI 49001 |
|
MDR Report Key | 9603210 |
MDR Text Key | 176808262 |
Report Number | 0001811755-2020-00092 |
Device Sequence Number | 1 |
Product Code |
LFL
|
UDI-Device Identifier | 37613327298636 |
UDI-Public | 37613327298636 |
Combination Product (y/n) | N |
PMA/PMN Number | K190070 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
user facility |
Type of Report
| Initial,Followup |
Report Date |
07/29/2020 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/17/2020 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | 5500573000 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 02/10/2020 |
Date Manufacturer Received | 07/23/2020 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
Treatment | 5500050000,SONOPET IQ CONSOLE,SN (B)(6); 5500255000,SONOPET IQ HANDPIECE,SN (B)(6) |
|
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