Brand Name | SVC REPL, 660 HD IMAGE MANAGEMENT SYSTEM |
Type of Device | LAPAROSCOPE, GENERAL & PLASTIC SURGERY |
Manufacturer (Section D) |
SMITH & NEPHEW, INC. |
76 s. meridian ave. |
oklahoma city OK 73107 6512 |
|
Manufacturer (Section G) |
SMITH & NEPHEW, INC. |
76 s. meridian ave. |
|
oklahoma city OK 73107 6512 |
|
Manufacturer Contact |
jim
gonzales
|
7000 w. william cannon dr. |
austin, TX 78735
|
|
MDR Report Key | 6983137 |
MDR Text Key | 90986321 |
Report Number | 1643264-2017-01109 |
Device Sequence Number | 1 |
Product Code |
GCJ
|
Combination Product (y/n) | N |
PMA/PMN Number | K060777 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Type of Report
| Initial |
Report Date |
10/27/2017 |
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 Catalogue Number | 72200242S |
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
03/29/2016 |
Initial Date FDA Received | 10/27/2017 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
|
|