Brand Name | SVCE REP HANDPIECE HYSTER MORCELLATOR |
Type of Device | HYSTEROSCOPE (AND ACCESSORIES) |
Manufacturer (Section D) |
SMITH & NEPHEW, INC. |
76 s. meridian ave. |
oklahoma city OK 73107 6512 |
|
Manufacturer (Section G) |
SMITH & NEPHEW, INC. |
76 s. meridian ave. |
|
oklahoma city OK 73107 6512 |
|
Manufacturer Contact |
james
gonzales
|
7000 west william cannon drive |
austin, TX 78735
|
|
MDR Report Key | 7054543 |
MDR Text Key | 93075917 |
Report Number | 1643264-2017-01765 |
Device Sequence Number | 1 |
Product Code |
HIH
|
Combination Product (y/n) | N |
PMA/PMN Number | K031787 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Type of Report
| Initial |
Report Date |
11/22/2017 |
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 Catalogue Number | 7209807S |
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
12/10/2015
|
Initial Date FDA Received | 11/22/2017 |
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|