Brand Name | FLOW-I |
Type of Device | GAS-MACHINE, ANESTHESIA |
Manufacturer (Section D) |
MAQUET CRITICAL CARE AB |
roentgenvagen 2 |
solna |
|
Manufacturer (Section G) |
MAQUET CRITICAL CARE AB |
roentgenvagen 2 |
|
solna |
|
Manufacturer Contact |
sara
soderholm roman
|
roentgenvagen 2 |
solna
|
|
MDR Report Key | 11285030 |
MDR Text Key | 230452726 |
Report Number | 8010042-2021-00274 |
Device Sequence Number | 1 |
Product Code |
BSZ
|
Combination Product (y/n) | N |
PMA/PMN Number | K191027 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,User Facility,Company Representative |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial,Followup |
Report Date |
02/05/2021 |
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 |
Health Professional
|
Device Model Number | FLOW-I C20 |
Device Catalogue Number | 6677200 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
01/08/2021 |
Initial Date FDA Received | 02/05/2021 |
Supplement Dates Manufacturer Received | 06/20/2022
|
Supplement Dates FDA Received | 06/20/2022
|
Was Device Evaluated by Manufacturer? |
No
|
Date Device Manufactured | 08/10/2015 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
A
|
Patient Sequence Number | 1 |
|
|