Brand Name | VERAN ALWAYS ONTIP TRACKE NEEDLE BRUSH |
Type of Device | SYSTEM, X-RAY, TOMOGRAPHY, COMPUTED |
Manufacturer (Section D) |
VERAN MEDICAL TECHNOLOGIES, INC. |
st. louis MO 63114 |
|
MDR Report Key | 9504649 |
MDR Text Key | 172692923 |
Report Number | MW5091800 |
Device Sequence Number | 1 |
Product Code |
JAK
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Administrator/Supervisor
|
Type of Report
| Initial |
Report Date |
12/17/2019 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 12/19/2019 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Expiration Date | 07/02/2022 |
Device Model Number | INS-5300 |
Device Catalogue Number | INS-5300 |
Device Lot Number | 03925190614 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Was Device Evaluated by Manufacturer? |
No Information
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Age | 61 YR |
|
|