Brand Name | ZIP 24 SURGICAL SKIN CLOSURE DEVICE |
Type of Device | TAPE AND BANDAGE, ADHESIVE |
Manufacturer (Section D) |
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP |
1941 stryker way |
portage MI 49002 |
|
Manufacturer (Section G) |
STRYKER INSTRUMENTS-KALAMAZOO |
4100 east milham avenue |
|
kalamazoo MI 49001 |
|
Manufacturer Contact |
zach
baker
|
1941 stryker way |
portage, MI 49002
|
2693237700
|
|
MDR Report Key | 12309339 |
MDR Text Key | 266078317 |
Report Number | 3015967359-2021-01791 |
Device Sequence Number | 1 |
Product Code |
KGX
|
UDI-Device Identifier | 10865379000030 |
UDI-Public | 10865379000030 |
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
health professional |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
08/11/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 08/11/2021 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Catalogue Number | PS1240 |
Device Lot Number | UNKNOWN |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 07/14/2021 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|
Patient Age | 65 YR |