Brand Name | DISPOLED DISP FO LARYNGOSCOPE HANDLE |
Type of Device | LARYNGOSCOPE HANDLE |
Manufacturer (Section D) |
TELEFLEX |
research triangle park NC |
|
Manufacturer Contact |
katharine
tarpley
|
po box 12600 |
research triangle park, NC 27709
|
9194334854
|
|
MDR Report Key | 4023790 |
MDR Text Key | 22137275 |
Report Number | 1044475-2014-00230 |
Device Sequence Number | 1 |
Product Code |
GCI
|
Combination Product (y/n) | N |
Reporter Country Code | US |
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 |
Report Date |
07/22/2014 |
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 | 77700 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
07/22/2014 |
Initial Date FDA Received | 08/14/2014 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
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 |