Brand Name | HUDSON CATH-GUIDE AIRWAY,100MM |
Type of Device | AIRWAY, OROPHARYNGEAL, ANESTHE |
Manufacturer (Section D) |
TELEFLEX MEDICAL |
morrisville NC |
|
Manufacturer (Section G) |
TELEFLEX MEDICAL |
parque industrial finsa |
|
nuevo laredo 88275 |
MX
88275
|
|
Manufacturer Contact |
marling
heaton
|
3015 carrington mill blvd |
morrisville 27560
|
|
MDR Report Key | 12245753 |
MDR Text Key | 264079476 |
Report Number | 3004365956-2021-00237 |
Device Sequence Number | 1 |
Product Code |
CAE
|
UDI-Device Identifier | 14026704646491 |
UDI-Public | 14026704646491 |
Combination Product (y/n) | N |
Reporter Country Code | CH |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,foreig |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
07/07/2021 |
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
|
Device Operator |
Health Professional
|
Device Model Number | IPN049856 |
Device Catalogue Number | 1167 |
Device Lot Number | 74F2000055 |
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
07/07/2021
|
Initial Date FDA Received | 07/29/2021 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 06/01/2020 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |