Brand Name | FLEXIBLE PASSING PIN, 13.50 X 2.4MM |
Type of Device | ACCESSORIES, ARTHROSCOPIC |
Manufacturer (Section D) |
SMITH & NEPHEW, INC. |
130 forbes boulevard |
mansfield MA 02048 |
|
Manufacturer (Section G) |
SMITH & NEPHEW, INC. |
130 forbes boulevard |
|
mansfield MA 02048 |
|
Manufacturer Contact |
jim
gonzales
|
150 minuteman road |
andover, MA
|
5123585706
|
|
MDR Report Key | 5963080 |
MDR Text Key | 55163344 |
Report Number | 1219602-2016-00710 |
Device Sequence Number | 1 |
Product Code |
NBH
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,health |
Reporter Occupation |
Health Professional
|
Type of Report
| Initial |
Report Date |
10/11/2013 |
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 Expiration Date | 03/31/2018 |
Device Catalogue Number | 72201594 |
Device Lot Number | 50453366 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
10/11/2013 |
Initial Date FDA Received | 09/20/2016 |
Date Device Manufactured | 04/17/2013 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|