Type of Device | MOTOR, SURGICAL INSTRUMENT, PNEUMATIC POWERED |
Manufacturer (Section D) |
COVIDIEN, FORMERLY USSC PUERTO RICO INC |
building 911-67 |
sabanetas industrial park |
ponce PR 00731 |
|
Manufacturer (Section G) |
COVIDIEN, FORMERLY USSC PUERTO RICO INC |
building 911-67 |
sabanetas industrial park |
ponce PR 00731 |
|
Manufacturer Contact |
sharon
murphy
|
60 middletown ave. |
north haven, CT 06473
|
2034925267
|
|
MDR Report Key | 5612545 |
MDR Text Key | 44552827 |
Report Number | 2647580-2016-00198 |
Device Sequence Number | 1 |
Product Code |
GET
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Type of Report
| Initial |
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? |
No
|
Device Operator |
No Information
|
Device Model Number | 174213 |
Device Catalogue Number | 174213 |
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 04/27/2016 |
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|