Brand Name | PATIENT INFORMATION CENTER IX |
Type of Device | PATIENT INFORMATION CENTER IX |
Manufacturer (Section D) |
PHILIPS MEDICAL SYSTEMS |
3000 minuteman rd |
andover MA 01810 |
|
Manufacturer (Section G) |
PHILIPS MEDICAL SYSTEMS |
3000 minuteman rd |
|
andover MA 01810 |
|
Manufacturer Contact |
hisham
alzayat
|
3000 minuteman rd |
andover, MA 01810
|
6172455900
|
|
MDR Report Key | 19126973 |
MDR Text Key | 341128148 |
Report Number | 1218950-2024-00268 |
Device Sequence Number | 1 |
Product Code |
MHX
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K153702 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,User Facility,Company Representative |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
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 | 866389 |
Device Catalogue Number | 866389 |
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
03/26/2024
|
Initial Date FDA Received | 04/17/2024 |
Was Device Evaluated by Manufacturer? |
Yes
|
Is the Device Single Use? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |