Brand Name | ORBIT INCISOR PLUS,EP-1 (6/BX) |
Type of Device | SAW, POWERED, AND ACCESSORIES |
Manufacturer (Section D) |
SMITH & NEPHEW, INC. |
130 forbes boulevard |
mansfield MA 02048 |
|
Manufacturer (Section G) |
SMITH & NEPHEW, INC. |
130 forbes boulevard |
|
mansfield MA 02048 |
|
Manufacturer Contact |
jim
gonzales
|
7000 west william cannon drive |
austin, TX 78735
|
|
MDR Report Key | 7226414 |
MDR Text Key | 98643016 |
Report Number | 1219602-2018-00143 |
Device Sequence Number | 1 |
Product Code |
HAB
|
UDI-Device Identifier | 03596010373229 |
UDI-Public | (01)03596010373229(17)210812(10)50615767 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,user f |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
02/07/2018 |
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 Expiration Date | 08/12/2021 |
Device Model Number | 7205687 |
Device Catalogue Number | 7205687 |
Device Lot Number | 50615767 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 01/22/2018 |
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
01/03/2018 |
Initial Date FDA Received | 01/29/2018 |
Supplement Dates Manufacturer Received | 02/01/2018
|
Supplement Dates FDA Received | 02/07/2018
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 08/12/2016 |
Is the Device Single Use? |
Yes
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |