Brand Name | 20G SPIROL CATHETER |
Type of Device | CATHETER, CONDUCTION, ANESTHETIC |
Manufacturer (Section D) |
EPIMED INTERNATIONAL, INC. |
141 sal landrio dr. |
crossroads business park |
johnstown NY 12095 |
|
MDR Report Key | 7428298 |
MDR Text Key | 105397012 |
Report Number | 7428298 |
Device Sequence Number | 1 |
Product Code |
BSO
|
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 |
02/21/2018,04/11/2018 |
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 | 01/31/2022 |
Device Lot Number | 16367913 |
Other Device ID Number | 20 G SHORT EPIDURAL CATHETER |
Was Device Available for Evaluation? |
No
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 02/21/2018 |
Device Age | 1 DY |
Event Location |
Hospital
|
Date Report to Manufacturer | 02/21/2018 |
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 04/13/2018 |
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 Outcome(s) |
Other;
|
Patient Age | 17 YR |
|
|