| Brand Name | FLUSHING PUMP OFP-2 (US) |
| Common Device Name | Pump, Air, Non-Manual, For Endoscope |
| Manufacturer (Section D) |
| KeyMed (Medical and Industrial Equipment) Ltd. |
| keymed house, stock road |
| southend on sea, essex SS25Q H |
| UK SS25QH |
|
| Manufacturer (Section G) |
| KeyMed (Medical and Industrial Equipment) Ltd. |
| keymed house, stock road |
|
| southend on sea, essex SS25Q H |
|
UK
SS25QH
|
|
| Manufacturer Contact |
|
todd
brill
|
| 800 west park drive |
| westborough, MA 01581
|
|
+1(508)207-7661
|
|
| MDR Report Key | 50159425 |
| Report Number | 9611174-2026-00173 |
| Device Sequence Number | 10607321 |
| Product Code |
FEQ
|
| UDI-Device Identifier | 15019778004716 |
| UDI-Public | 15019778004716 |
| Combination Product (Y/N) | N |
| Initial Reporter State | OR |
| Initial Reporter Country | US |
| PMA/510(K) Number | K100899 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility |
| Initial Reporter Occupation |
Biomedical Engineer
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
08/26/2026 |
| 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 | K10001141 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 07/30/2026 |
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | 07/28/2026 |
| Supplement Date Received by Manufacturer | 08/07/2026
|
| Initial Report FDA Received Date | 08/06/2026 |
| Supplement Report FDA Received Date | 08/26/2026
|
| 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 |
Unknown
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|