Brand Name | POSEY DELUXE PODUS BOOT |
Type of Device | IQI |
Manufacturer (Section D) |
J. T. POSEY CO. |
5635 peck rd. |
arcadia CA 91006 |
|
Manufacturer (Section G) |
J. T. POSEY CO. |
5635 peck rd. |
|
arcadia CA 91006 |
|
Manufacturer Contact |
sokea
peou, qe analyst
|
5635 peck rd. |
arcadia, CA 91006
|
6264433143
|
|
MDR Report Key | 4431996 |
MDR Text Key | 5395686 |
Report Number | 2020362-2015-00004 |
Device Sequence Number | 1 |
Product Code |
IQI
|
Combination Product (y/n) | N |
Reporter Country Code | IT |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,User Facility |
Reporter Occupation |
Unknown
|
Type of Report
| Initial |
Report Date |
12/18/2014 |
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 Operator |
Health Professional
|
Device Model Number | 6148 |
Device Catalogue Number | 6148 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
12/18/2014 |
Initial Date FDA Received | 01/15/2015 |
Was Device Evaluated by Manufacturer? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Treatment | AMBULATION SOLE, 6148ML |
Patient Outcome(s) |
Required Intervention;
|
|
|