Brand Name | RUSCH TRULED HANDLE CARTRIDGE, MEDIUM |
Type of Device | LARYNGOSCOPE, RIGID |
Manufacturer (Section D) |
TRUPHATEK INTERNATIONAL LTD. |
netanya |
|
MDR Report Key | 9522163 |
MDR Text Key | 189448616 |
Report Number | 8030121-2019-00116 |
Device Sequence Number | 1 |
Product Code |
CCW
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
distributor,foreign,user faci |
Type of Report
| Initial,Followup |
Report Date |
12/02/2019 |
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 |
No Information
|
Device Catalogue Number | 42143100T |
Device Lot Number | 1607V3 |
Was Device Available for Evaluation? |
Yes
|
Initial Date Manufacturer Received |
12/02/2019
|
Initial Date FDA Received | 12/26/2019 |
Supplement Dates Manufacturer Received | 08/04/2020
|
Supplement Dates FDA Received | 08/04/2020
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
Treatment | NONE REPORTED.; NONE REPORTED. |
|
|