Brand Name | AVID CUSTOM PROCEDURE TRAYS |
Type of Device | CYSTO PACK/TRAY, SURGICAL |
Manufacturer (Section D) |
OWENS AND MINOR, INC. |
9120 lockwood blvd. |
mechanicsville VA 23116 |
|
MDR Report Key | 6578036 |
MDR Text Key | 75768349 |
Report Number | MW5069880 |
Device Sequence Number | 1 |
Product Code |
KDD
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
05/16/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 05/16/2017 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | N021-01 |
Device Lot Number | 1218397 |
Is the Reporter a Health Professional? |
Yes
|
Was Device Evaluated by Manufacturer? |
No Information
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|