Model Number 5100015250 |
Device Problem
Detachment of Device or Device Component (2907)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 09/30/2021 |
Event Type
malfunction
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Manufacturer Narrative
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This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Reported events: 1 event was reported for this quarter.Product return status: 1 device was not available for evaluation.Additional information: 1 device was not labeled for single-use.1 device was not reprocessed or reused.Device not available.
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Event Description
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This report summarizes 1 malfunction event in which the device had a component detach.1 event which had a mild injury, illness or impairment which can be treated with minimal or no intervention.
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Event Description
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This report summarizes 2 malfunction events in which the device had a component detach.1 event had no patient involvement; no patient impact.1 event which had a mild injury, illness or impairment which can be treated with minimal or no intervention.
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Manufacturer Narrative
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This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Supplemental rationale: 1 event was originally reported for this failure mode during the reporting quarter; however, 1 event was inadvertently excluded.2 reported events are included in this follow-up record.Product return status: 1 device was received.1 device was not available for evaluation.
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Search Alerts/Recalls
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