| Brand Name | PICCO KIT |
| Common Device Name | PROBE, THERMODILUTION |
| Manufacturer (Section D) |
| PULSION MEDICAL SYSTEMS SE |
| hans-riedl-strasse 17 |
| feldkirchen 85622 |
| GM 85622 |
|
| Manufacturer (Section G) |
| MAQUET CRITICAL CARE AB |
| roentgenvagen 2 |
|
| solna 85622 |
|
GM
85622
|
|
| Manufacturer Contact |
|
caroline
kabbabe
|
| roentgenvagen 2 |
| solna 85622
|
|
GM
85622
|
|
0894599140
|
|
| MDR Report Key | 24673369 |
| Report Number | 3003263092-2026-000000 |
| Device Sequence Number | 10285049 |
| Product Code |
KRB
|
| Combination Product (Y/N) | N |
| Initial Reporter Country | FR |
| PMA/510(K) Number | K171620 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Biomedical Engineer
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
03/24/2026 |
| 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 |
Health Professional
|
| Device Model Number | 6885060 |
| Device Lot Number | 801216 |
| 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 | 03/11/2026 |
| Supplement Date Received by Manufacturer | 07/15/2026
|
| Initial Report FDA Received Date | 03/24/2026 |
| Supplement Report FDA Received Date | 07/15/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 01/27/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|