Brand Name | CARESTATION 650 |
Type of Device | ANESTHESIA GAS MACHINE |
Manufacturer (Section D) |
DATEX-OHMEDA, INC. |
3030 ohmeda drive |
madison WI |
|
Manufacturer Contact |
john
szalinski
|
540 w. northwest highway |
barrington, IL
|
|
MDR Report Key | 6557865 |
MDR Text Key | 74840840 |
Report Number | 2112667-2017-00854 |
Device Sequence Number | 1 |
Product Code |
BSZ
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K151570 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
health professional,user faci |
Reporter Occupation |
Biomedical Engineer
|
Type of Report
| Initial |
Report Date |
05/10/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 05/10/2017 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | 1012-9650-000 |
Other Device ID Number | SEE BLOCK H10 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
No
|
Date Manufacturer Received | 04/13/2017 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 08/07/2016 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|