Brand Name | ICT |
Type of Device | SYSTEM, X-RAY, TOMOGRAPHY, COMPUTED |
Manufacturer (Section D) |
PHILIPS MEDICAL SYSTEMS (CLEVELAND), INC. |
595 miner rd |
cleveland OH 44143 |
|
MDR Report Key | 7380950 |
MDR Text Key | 103929461 |
Report Number | 1525965-2018-00384 |
Device Sequence Number | 1 |
Product Code |
JAK
|
UDI-Device Identifier | 00884838059474 |
UDI-Public | (01)00884838059474 |
Combination Product (y/n) | N |
PMA/PMN Number | K060937 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,health |
Type of Report
| Initial,Followup |
Report Date |
03/05/2018 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/29/2018 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | 728306 |
Device Catalogue Number | NCTC780 |
Other Device ID Number | N/A |
Was Device Available for Evaluation? |
Yes
|
Was the Report Sent to FDA? |
No
|
Date Manufacturer Received | 03/05/2018 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
|
|