Brand Name | SUNBEAM |
Type of Device | HEATING PAD |
Manufacturer (Section D) |
SUNBEAM PRODUCTS, INC. |
2381 executive center dr. |
boca raton FL 33431 |
|
Manufacturer (Section G) |
SKY EAGLE HOLDINGS CORP. |
no. 128, chung hwa rd., sec. 2 |
|
taipei hsien, 236 |
TW
236
|
|
Manufacturer Contact |
michael
miles
|
303 nelson ave. |
neosho, MO 64850
|
4174557441
|
|
MDR Report Key | 8803160 |
MDR Text Key | 151456241 |
Report Number | 3007790958-2019-00052 |
Device Sequence Number | 1 |
Product Code |
IRT
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
other |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
07/18/2019 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Other
|
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 07/18/2019 |
Was Device Evaluated by Manufacturer? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
|
|