Brand Name | DOSI-FUSER |
Type of Device | ELASTOMERIC INFUSION PUMP |
Manufacturer (Section D) |
LEVENTON S.A.U. |
newton, 18-24 |
sant esteve sesrovires, barcelona 08635 |
SP 08635 |
|
Manufacturer (Section G) |
LEVENTON S.A.U. |
newton, 18-24 |
|
sant esteve sesrovires, barcelona 08635 |
SP
08635
|
|
Manufacturer Contact |
david
salvatierra
|
newton, 18-24 |
sant esteve sesrovires, barcelona 08635
|
SP
08635
|
|
MDR Report Key | 6982750 |
MDR Text Key | 91107988 |
Report Number | 9611707-2017-00002 |
Device Sequence Number | 1 |
Product Code |
MEB
|
UDI-Device Identifier | 08436020760068 |
UDI-Public | 08436020760068 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K040752 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
other |
Reporter Occupation |
Pharmacist
|
Type of Report
| Initial |
Report Date |
10/27/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Expiration Date | 03/24/2019 |
Device Model Number | 150D2 |
Device Catalogue Number | L25915-150D2-USA |
Device Lot Number | 170658L |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 09/22/2017 |
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
No
|
Initial Date Manufacturer Received |
09/13/2017
|
Initial Date FDA Received | 10/27/2017 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 03/24/2017 |
Is the Device Single Use? |
Yes
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|