Brand Name | MIDAS REX MRT PNEUMATIC HIGH SPEED SYSTEM |
Type of Device | MOTOR, DRILL, PNEUMATIC |
Manufacturer (Section D) |
MEDTRONIC POWERED SURGICAL |
4620 north beach st. |
fort worth TX 76137 |
|
MDR Report Key | 5350729 |
MDR Text Key | 35344262 |
Report Number | MW5059009 |
Device Sequence Number | 1 |
Product Code |
HBB
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Risk Manager
|
Type of Report
| Initial |
Report Date |
12/31/2015 |
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 | MEDT T9850/C0375 |
Device Lot Number | A0279 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 01/04/2016 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|
Patient Age | 33 YR |
Patient Weight | 51 |
|
|