| Brand Name | AESCULAP JS CONTAINER |
| Common Device Name | STERILIZATION WRAP CONTAINERS, TRAYS, CASSETTES & OTHER ACCESSORIES |
| Manufacturer (Section D) |
|
| MDR Report Key | 11921821 |
| Report Number | MW5101653 |
| Device Sequence Number | 3037361 |
| Product Code |
KCT
|
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Voluntary
|
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
05/27/2021 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | JS440 |
| Device Catalogue Number | JS440 |
| Was Device Available for Evaluation? |
Yes
|
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 06/01/2021 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Patient Sequence Number | 1 |
|
|