Brand Name | RECLAIM BOLT TORQ WRENCH HNDL |
Type of Device | RECLAIM INSTRUMENTS : WRENCHES |
Manufacturer (Section D) |
DEPUY IRELAND 9616671 |
loughbeg ringaskiddy co. |
cork |
EI |
|
Manufacturer (Section G) |
DEPUY ORTHOPAEDICS, INC. 1818910 |
700 orthopaedic drive |
|
warsaw IN 46582 0988 |
|
Manufacturer Contact |
chad
gibson
|
700 orthopaedic drive |
warsaw, IN 46582-0988
|
5743725905
|
|
MDR Report Key | 7600611 |
MDR Text Key | 111018582 |
Report Number | 1818910-2018-62165 |
Device Sequence Number | 1 |
Product Code |
HXC
|
UDI-Device Identifier | 10603295155898 |
UDI-Public | 10603295155898 |
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,foreig |
Reporter Occupation |
Health Professional
|
Type of Report
| Initial,Followup,Followup |
Report Date |
05/22/2018 |
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 Catalogue Number | 297500300 |
Device Lot Number | SO2005250 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 07/26/2018 |
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
05/22/2018 |
Initial Date FDA Received | 06/14/2018 |
Supplement Dates Manufacturer Received | 07/26/2018 09/10/2018
|
Supplement Dates FDA Received | 08/01/2018 09/20/2018
|
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 04/12/2013 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |