Brand Name | DTX SAFEDRAW KIT |
Type of Device | COMPUTER, BLOOD-PRESSURE |
Manufacturer (Section D) |
MERIT MEDICAL SINGAPORE |
198 yishun ave 7 |
singapore, 76892 6 |
SN 768926 |
|
Manufacturer (Section G) |
MERIT MEDICAL SINGAPORE |
198 yishun ave 7 |
|
singapore, 76892 6 |
SN
768926
|
|
Manufacturer Contact |
bryson
heaton bsn,rn.
|
1600 merit parkway |
south jordan, UT 84095
|
|
MDR Report Key | 16811831 |
MDR Text Key | 314003681 |
Report Number | 8020616-2023-00019 |
Device Sequence Number | 1 |
Product Code |
DSK
|
UDI-Device Identifier | 04589731125412 |
UDI-Public | 4589731125412 |
Combination Product (y/n) | N |
Reporter Country Code | JA |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,User Facility,Company Representative |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
04/19/2023 |
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 Catalogue Number | 689348/JPB |
Device Lot Number | C2530681 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
04/19/2023
|
Initial Date FDA Received | 04/25/2023 |
Supplement Dates Manufacturer Received | 05/08/2023
|
Supplement Dates FDA Received | 05/17/2023
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 11/24/2022 |
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 |
|
|