Brand Name | V. MUELLER T-COAT KERRISON RONGEURS |
Type of Device | RONGEUR, MANUAL |
Manufacturer (Section D) |
CAREFUSION 2200, INC |
1 becton dr |
franklin lakes NJ 07417 |
|
MDR Report Key | 6398594 |
MDR Text Key | 69758103 |
Report Number | 6398594 |
Device Sequence Number | 1 |
Product Code |
HAE
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
02/28/2017,03/06/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/13/2017 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Physician
|
Device Model Number | NL4251-82T |
Device Catalogue Number | NL4251-82T |
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 02/28/2017 |
Event Location |
Hospital
|
Date Report to Manufacturer | 02/28/2017 |
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Age | 70 YR |
Patient Weight | 67 |
|
|