Brand Name | DYNAMICS AV |
Type of Device | PTA CATHERER |
Manufacturer (Section D) |
CREAGH MEDICAL LTD. |
ida business park |
balinasloe, co. galway, galway H53 K 8P4 |
EI H53 K8P4 |
|
Manufacturer (Section G) |
CREAGH MEDICAL LTD. |
ida business park |
|
balinasloe, co. galway, galway H53 K 8P4 |
EI
H53 K8P4
|
|
Manufacturer Contact |
mike
dunning
|
ida business park |
balinasloe, co. galway, galway H53 K-8P4
|
EI
H53 K8P4
|
|
MDR Report Key | 11890670 |
MDR Text Key | 255925193 |
Report Number | 3005994106-2021-00003 |
Device Sequence Number | 1 |
Product Code |
LIT
|
UDI-Device Identifier | 05391525783369 |
UDI-Public | 05391525783369 |
Combination Product (y/n) | N |
Reporter Country Code | EI |
PMA/PMN Number | K143561 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Distributor |
Reporter Occupation |
Non-Healthcare Professional
|
Type of Report
| Initial,Followup |
Report Date |
05/26/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 05/26/2021 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 09/08/2021 |
Device Model Number | D1604081475 |
Device Lot Number | 21802354 |
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 04/26/2021 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
|
|