Brand Name | SERVO-S |
Type of Device | VENTILATOR, CONTINUOUS, FACILITY USE |
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 | 11722828 |
MDR Text Key | 247214602 |
Report Number | 8010042-2021-00915 |
Device Sequence Number | 1 |
Product Code |
CBK
|
Combination Product (y/n) | N |
Reporter Country Code | IN |
PMA/PMN Number | K123149 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Company Representative |
Reporter Occupation |
Non-Healthcare Professional
|
Type of Report
| Initial,Followup |
Report Date |
04/26/2021 |
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 | SERVO-S |
Device Catalogue Number | 6640440 |
Was Device Available for Evaluation? |
No
|
Was the Report Sent to FDA? |
No
|
Initial Date Manufacturer Received |
04/01/2021 |
Initial Date FDA Received | 04/26/2021 |
Supplement Dates Manufacturer Received | 03/01/2022
|
Supplement Dates FDA Received | 03/01/2022
|
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 08/27/2014 |
Is the Device Single Use? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
Patient Sex | Prefer Not To Disclose |
|
|