Section h10: (a1) patient identifier (in confidence): (b)(6).(b2) added check for hospitalization - initial or prolonged (d4) expiration date: 22-may-2028, unique identifier (udi) #: (b)(4) (d5) operator of device: health_care_professional (d6) if implanted, give date: (b)(6) 2018, (d7) if explanted, give date: (b)(6)2018, (g5) pma/510(k)number: k063569 (h3) patient was revised on (b)(6) 2018.Only the tray, liner and glenosphere were replaced.(h4) device manufacture date: 23-may-2018 (h5) labeled for single use?: yes section h11: corrections made in the following section(s): (e1) initial reporter: (b)(6).(e2) health professional?: yes (e3) occupation: physician (e4) initial reporter also sent report to fda?: no (g1) mdr reporting contact: (b)(6) (g3) report source: health professional.
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