Brand Name | QUADCUT |
Type of Device | BUR, EAR NOSE |
Manufacturer (Section D) |
MEDTRONIC POWERED SURGICAL SOLUTIONS |
4620 north beach st |
fort worth TX 76137 |
|
MDR Report Key | 4630215 |
MDR Text Key | 17581473 |
Report Number | 4630215 |
Device Sequence Number | 2 |
Product Code |
EQJ
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Type of Report
| Initial |
Report Date |
03/13/2015 |
2 Devices were Involved in the Event: |
1
2
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Invalid Data
|
Device Catalogue Number | 1884380HR |
Device Lot Number | 0209228812 |
Was Device Available for Evaluation? |
No
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 03/13/2015 |
Event Location |
Hospital
|
Date Report to Manufacturer | 03/25/2015 |
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 03/13/2015 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
Patient Age | 64 YR |
|
|