| Brand Name | MERITS |
| Common Device Name | VISION SUPER |
| Manufacturer (Section D) |
| MERITS HEALTH PRODUCTS CO., LTD. |
| 18 jingke rd., nantun dist. |
| taichung city, 40852 |
| TW 40852 |
|
| Manufacturer (Section G) |
| MERITS HEALTH PRODUCTS CO., LTD., |
| 18 jingke rd., nantun dist., |
|
| taichung city, 40852 |
|
TW
40852
|
|
| Manufacturer Contact |
|
efy
cheng
|
| 18 jingke rd., nantun dist., |
| taichung city, 40852
|
|
TW
40852
|
|
| MDR Report Key | 22737669 |
| Report Number | 9680333-2025-00001 |
| Device Sequence Number | 18417974 |
| Product Code |
ITI
|
| UDI-Device Identifier | 04714379298550 |
| UDI-Public | (01)04714379298550(11)240531 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K012802 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Y |
| Reporter Type |
Manufacturer
|
| Report Source |
Distributor |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/23/2025 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Device Model Number | P327 |
| Device Catalogue Number | P3278-ARMUB SUPER P327 RED |
| Device Lot Number | MU240502759 |
| Was Device Available for Evaluation? |
Yes
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 07/23/2025 |
| Initial Report FDA Received Date | 08/07/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 06/06/2024 |
| 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 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Sex | Unknown |
|
|