Brand Name | MESH SOFRADIM - PARIETEX¿ PROGRIP¿ |
Type of Device | MESH, SURGICAL, POLYMERIC |
Manufacturer (Section D) |
SOFRADIM PRODUCTION SAS |
116 avenue du formans |
trevoux 01600 |
FR 01600 |
|
Manufacturer (Section G) |
SOFRADIM PRODUCTION SAS |
116 avenue du formans |
|
trevoux 01600 |
FR
01600
|
|
Manufacturer Contact |
sharon
murphy
|
60 middletown ave |
north haven, CT 06473
|
2034925267
|
|
MDR Report Key | 6689558 |
MDR Text Key | 79647637 |
Report Number | 9615742-2017-05179 |
Device Sequence Number | 1 |
Product Code |
FTL
|
UDI-Device Identifier | 10884521177697 |
UDI-Public | 10884521177697 |
Combination Product (y/n) | N |
Reporter Country Code | CA |
PMA/PMN Number | K081050 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
foreign,health professional,u |
Reporter Occupation |
Health Professional
|
Type of Report
| Initial,Followup,Followup |
Report Date |
02/28/2018 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 07/06/2017 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 10/31/2021 |
Device Model Number | TEM1208GR |
Device Catalogue Number | TEM1208GR |
Device Lot Number | SQJ1017X |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 06/18/2017 |
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 01/31/2018 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 11/16/2016 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Weight | 70 |