Brand Name | ZM-930PA |
Type of Device | TELEMETRY TRANSMITTER |
Manufacturer (Section D) |
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Manufacturer (Section G) |
NIHON KOHDEN AMERICA, INC. |
90 icon st. |
|
foothill ranch CA 92610 160 |
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Manufacturer Contact |
|
90 icon st. |
foothill ranch, CA 92610-1601
|
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MDR Report Key | 4385986 |
MDR Text Key | 16560799 |
Report Number | 2080783-2014-00124 |
Device Sequence Number | 1 |
Product Code |
DRG
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Distributor
|
Reporter Occupation |
Biomedical Engineer
|
Type of Report
| Initial |
Report Date |
10/11/2012 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
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Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | ZM-930PA |
Device Catalogue Number | ZM-930PA |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
No
|
Distributor Facility Aware Date | 10/11/2012 |
Device Age | 78 MO |
Event Location |
Hospital
|
Date Report to Manufacturer | 10/18/2012 |
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 12/24/2014 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
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