| Brand Name | SAFEPICO ASPIRATOR |
| Common Device Name | SAFEPICO ASPIRATOR |
| Manufacturer (Section D) |
| RADIOMETER MEDICAL APS |
| aakandevej 21 |
| broenshoej, 2700 |
| DA 2700 |
|
| Manufacturer (Section G) |
| RADIOMETER MEDICAL APS |
| aakandevej 21 |
|
| broenshoej, 2700 |
|
DA
2700
|
|
| Manufacturer Contact |
|
pearlyn
pah
|
| aakandevej 21 |
| broenshoej, 2700
|
|
DA
2700
|
|
| MDR Report Key | 24066111 |
| Report Number | 3002807968-2026-00006 |
| Device Sequence Number | 10282726 |
| Product Code |
JKA
|
| UDI-Device Identifier | 05700699566157 |
| UDI-Public | (01)05700699566157(17)271028(10)EE52 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | FR |
| PMA/510(K) Number | K043143 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
03/06/2026 |
| 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
|
| Operator of Device |
Health Professional
|
| Device Model Number | 956-615 |
| Device Catalogue Number | 956-615 |
| Device Lot Number | EE52 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 01/07/2026 |
| Supplement Date Received by Manufacturer | 02/24/2026
|
| Initial Report FDA Received Date | 01/14/2026 |
| Supplement Report FDA Received Date | 03/06/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 10/28/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |
|
|