Brand Name | SENSOR ENLITE MMT-7008A |
Type of Device | ARTIFICIAL PANCREAS DEVICE SYSTEM, THRESHOLD SUSPEND |
Manufacturer (Section D) |
MEDTRONIC MINIMED |
18000 devonshire st. |
northridge CA 91325 1219 |
|
Manufacturer (Section G) |
MEDTRONIC MINIMED |
18000 devonshire st. |
|
northridge CA 91325 1219 |
|
Manufacturer Contact |
gerwin
de graaff
|
18000 devonshire st. |
northridge, CA 91325-1219
|
8185464805
|
|
MDR Report Key | 10910738 |
MDR Text Key | 218515976 |
Report Number | 2032227-2020-210661 |
Device Sequence Number | 1 |
Product Code |
OZO
|
UDI-Device Identifier | 000020643169541706 |
UDI-Public | (01)000020643169541706(17)201125(10)E290P |
Combination Product (y/n) | N |
Reporter Country Code | CO |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,foreig |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
11/26/2020 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 11/26/2020 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Lay User/Patient
|
Device Expiration Date | 11/25/2020 |
Device Model Number | MMT-7008A |
Device Catalogue Number | MMT-7008A |
Device Lot Number | E290P |
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 11/23/2020 |
Date Device Manufactured | 05/29/2020 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |