Brand Name | HITACHI PROSOUND F75 |
Type of Device | SYSTEM, IMAGING, PULSED ECHO, ULTRASONIC |
Manufacturer (Section D) |
HITACHI, LTD. |
1959 summit commerce park |
twinsburg OH 44087 |
|
MDR Report Key | 13860190 |
MDR Text Key | 287673295 |
Report Number | 13860190 |
Device Sequence Number | 1 |
Product Code |
IYO
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Risk Manager
|
Type of Report
| Initial |
Report Date |
03/15/2022,02/03/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/23/2022 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | PROSOUND F75 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
No
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 03/15/2022 |
Device Age | 8 YR |
Event Location |
Hospital
|
Date Report to Manufacturer | 03/23/2022 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
Patient Age | 23725 DA |
Patient Sex | Male |
Patient Weight | 56 KG |
Patient Race | Black Or African American |
|
|