Brand Name | FINGER CUFF |
Type of Device | SYSTEM, MEASUREMENT, BLOOD-PRESSURE, NON-INVASIVE |
Manufacturer (Section D) |
EDWARDS LIFESCIENCES DR |
parque industrial de itabo |
carr. sanchez km 18.5 |
haina, san cristobal |
DR
|
|
Manufacturer (Section G) |
EDWARDS LIFESCIENCES DR |
parque industrial de itabo |
carr. sanchez km 18.5 |
haina, san cristobal |
DR
|
|
Manufacturer Contact |
samantha
eveleigh
|
1 edwards way |
irvine, CA 92614
|
9492503939
|
|
MDR Report Key | 9194626 |
MDR Text Key | 195043836 |
Report Number | 2015691-2019-03800 |
Device Sequence Number | 1 |
Product Code |
DXN
|
Combination Product (y/n) | N |
Reporter Country Code | BE |
PMA/PMN Number | K140312 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,foreig |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial,Followup,Followup |
Report Date |
09/27/2019 |
1 Device was Involved in the Event |
|
0 Patients were Involved in the Event: |
|
Date FDA Received | 10/15/2019 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
|
Device Expiration Date | 09/11/2020 |
Device Model Number | CSCL |
Device Catalogue Number | CSCL |
Device Lot Number | 61058969 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 11/27/2019 |
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
|
Event Location |
No Information
|
Date Manufacturer Received | 07/23/2020 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 09/12/2017 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|