| Brand Name | C6 MONITOR A13, VERIZON |
| Common Device Name | MCOT MONITOR - A13 - VERIZON |
| Manufacturer (Section D) |
| BRAEMAR MANUFACTURING, LLC |
| 1285 corporate center drive |
| suite 150 |
| eagan MN 55121 |
|
| Manufacturer (Section G) |
| BRAEMAR MANUFACTURING, LLC |
| 1285 corporate center drive |
| suite 150 |
| eagan MN 55121 |
|
| Manufacturer Contact |
|
beverly
okoh
|
| 1285 corporate center drive |
| suite 150 |
| eagan, MN 55121
|
|
| MDR Report Key | 22185607 |
| Report Number | 2133409-2025-00021 |
| Device Sequence Number | 8571059 |
| Product Code |
DSI
|
| UDI-Device Identifier | B146C6M90 |
| UDI-Public | +B146C6M90 |
| Combination Product (Y/N) | N |
| Initial Reporter State | AZ |
| Initial Reporter Country | US |
| PMA/510(K) Number | K153473 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Y |
| Reporter Type |
Manufacturer
|
| Report Source |
Consumer,Company Representative,Distributor |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
04/22/2026 |
| 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
|
| Operator of Device |
Lay User/Patient
|
| Device Model Number | 02-02118 |
| Device Catalogue Number | 02-02118 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 05/12/2025 |
| Supplement Date Received by Manufacturer | 03/31/2026
|
| Initial Report FDA Received Date | 06/11/2025 |
| Supplement Report FDA Received Date | 04/22/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 09/20/2023 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | CHARGING CABLE - MONITOR - A TO C, 01-01970 |
| Patient Age | 36 YR |
| Patient Sex | Female |
|
|