Brand Name | FIRST PICC |
Type of Device | PICC LINE |
Manufacturer (Section D) |
ARGON MEDICAL DEVICES, INC. |
athens TX 75751 |
|
MDR Report Key | 6367702 |
MDR Text Key | 68845009 |
Report Number | MW5068196 |
Device Sequence Number | 1 |
Product Code |
FOZ
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Nurse
|
Type of Report
| Initial |
Report Date |
02/27/2017 |
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 Expiration Date | 07/01/2017 |
Device Catalogue Number | 384232 |
Device Lot Number | 1114499Z |
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 02/27/2017 |
Was Device Evaluated by Manufacturer? |
No Information
|
Is This a Reprocessed and Reused Single-Use Device? |
Yes
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Age | 7 DA |
Patient Weight | 1 |
|
|