| Brand Name | FLUKE BIOMEDICAL |
| Common Device Name | IMPULSE 6000D, IMPULSE 7000DP |
| Manufacturer (Section D) |
| FLUKE BIOMEDICAL |
| 6920 seaway blvd |
| everett WA 98203 |
|
| Manufacturer (Section G) |
| FLUKE BIOMEDICAL |
| 6920 seaway blvd |
|
| everett WA 98203 |
|
| Manufacturer Contact |
|
rondii
lynberg
|
| 6920 seaway blvd |
| everett, WA 98203
|
|
8008504608
|
|
| MDR Report Key | 25751488 |
| Report Number | 0002921581-2026-00001 |
| Device Sequence Number | 18678773 |
| Product Code |
DRL
|
| UDI-Device Identifier | 00850540007119 |
| UDI-Public | 00850540007119 |
| Combination Product (Y/N) | N |
| Initial Reporter State | WA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K072114 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Y |
| Reporter Type |
Manufacturer
|
| Report Source |
Study,Company Representative |
| Initial Reporter Occupation |
Administrator/Supervisor
|
| Remedial Action |
Relabeling,Modification/Adjustment,Notification |
| Type of Report
| Initial |
| Report Date (Section B) |
07/06/2026 |
| 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 |
Other
|
| Device Model Number | IMPULSE 6000D, IMPULSE 7000DP |
| Device Catalogue Number | 2811928, 2811919 |
| Device Lot Number | VARIOUS |
| Was Device Available for Evaluation? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/08/2026 |
| Initial Report FDA Received Date | 07/08/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| 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 |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|