Brand Name | ZIP SURGICAL SKIN CLOSURE |
Type of Device | TAPE AND BANDAGE, ADHESIVE |
Manufacturer (Section D) |
ZIPLINE INDUSTRIES, INC. |
campbell CA 95008 |
|
MDR Report Key | 8444106 |
MDR Text Key | 139685366 |
Report Number | MW5085080 |
Device Sequence Number | 0 |
Product Code |
KGX
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Nurse
|
Type of Report
| Initial |
Report Date |
03/19/2019 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 03/21/2019 |
Was Device Evaluated by Manufacturer? |
No Information
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 0 |
Patient Age | 57 YR |
Patient Weight | 128 |
|
|