Brand Name | PRESTIGE ATRA GRASPER DBL-ACT 5MM |
Type of Device | HANDHELD PRODUCTS & LIGATION |
Manufacturer (Section D) |
AESCULAP INC. |
3773 corporate parkway |
center valley PA 18034 |
|
Manufacturer (Section G) |
AESCULAP INC. |
3773 corporate parkway |
|
center valley PA 18034 |
|
Manufacturer Contact |
jonathan
severino
|
3773 corporate parkway |
center valley, PA 18034
|
4847197287
|
|
MDR Report Key | 17548904 |
MDR Text Key | 321158538 |
Report Number | 2916714-2023-00086 |
Device Sequence Number | 1 |
Product Code |
NWV
|
UDI-Device Identifier | 04046955083374 |
UDI-Public | 4046955083374 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,Company Representative |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial,Followup |
Report Date |
10/19/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | 8360-10 |
Device Catalogue Number | 8360-10 |
Device Lot Number | L50612674 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
07/31/2023
|
Initial Date FDA Received | 08/15/2023 |
Supplement Dates Manufacturer Received | 07/31/2023
|
Supplement Dates FDA Received | 10/19/2023
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|