Brand Name | ALLURA XPER FD20/10 |
Type of Device | SYSTEM, X-RAY ANGIOGRAPHIC |
Manufacturer (Section D) |
PHILIPS MEDICAL SYSTEMS |
595 miner road |
cleveland, OH 44143 |
|
MDR Report Key | 5916982 |
MDR Text Key | 53626791 |
Report Number | 5916982 |
Device Sequence Number | 1 |
Product Code |
IZI
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
08/02/2016,08/05/2016 |
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 |
No Information
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 08/02/2016 |
Device Age | 8 YR |
Event Location |
Hospital
|
Date Report to Manufacturer | 08/02/2016 |
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 08/31/2016 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Age | 90 YR |
|
|