Brand Name | HUDSON UP-DRAFT II OPTI-NEB NEBULIZER W/RESERV |
Type of Device | NEBULIZER, NON-VENTILATING |
Manufacturer (Section D) |
TELEFLEX MEDICAL |
research triangle park NC |
|
Manufacturer (Section G) |
TELEFLEX MEDICAL |
parque industrial finsa |
|
nuevo laredo 88275 |
MX
88275
|
|
Manufacturer Contact |
margie
burton, rn
|
3015 carrington mill blvd |
morrisville, NC 27560
|
9194334965
|
|
MDR Report Key | 6101999 |
MDR Text Key | 59866973 |
Report Number | 3004365956-2016-00420 |
Device Sequence Number | 1 |
Product Code |
CCQ
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,health |
Reporter Occupation |
Respiratory Therapist
|
Type of Report
| Initial |
Report Date |
11/04/2016 |
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
|
Device Expiration Date | 09/30/2021 |
Device Catalogue Number | 1734 |
Device Lot Number | 74J1601377 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
11/04/2016 |
Initial Date FDA Received | 11/15/2016 |
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 |