Brand Name | CAREFUSION |
Type of Device | CALCULATOR, PERDICTED VALUES, PULMONARY FUNCTION/B |
Manufacturer (Section D) |
CAREFUSION |
yorba linda CA |
|
Manufacturer Contact |
james
stytle
|
1100 bird center dr. |
palm springs, CA 92262
|
7608837120
|
|
MDR Report Key | 4438114 |
MDR Text Key | 5394783 |
Report Number | 2021710-2015-00081 |
Device Sequence Number | 1 |
Product Code |
BTY
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K981366 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
User Facility,Company Representative |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
12/17/2014 |
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
|
Device Operator |
Health Professional
|
Device Model Number | VMAX ENCORE 29C |
Device Catalogue Number | 777409-101 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Distributor Facility Aware Date | 12/17/2014 |
Device Age | 6 YR |
Event Location |
Hospital
|
Initial Date Manufacturer Received |
12/17/2014 |
Initial Date FDA Received | 01/17/2015 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 12/01/2008 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Treatment | CAREFUSION ECGC, SN: (B)(4),; FULL VISION TREADMILL, MODEL: TMX425C, SN: (B)(4) |
|
|