Brand Name | NONE |
Type of Device | LAPAROSCOPE, GENERAL PLASTIC SURGERY |
Manufacturer (Section D) |
INTUITIVE SURGICAL, INC. |
950 kifer rd |
sunnyvale CA 94086 |
|
MDR Report Key | 9636240 |
MDR Text Key | 176585042 |
Report Number | 9636240 |
Device Sequence Number | 1 |
Product Code |
GCJ
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Nurse
|
Type of Report
| Initial |
Report Date |
01/10/2020,01/07/2020 |
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 |
No Information
|
Device Model Number | 371939 |
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 01/10/2020 |
Date Report to Manufacturer | 01/28/2020 |
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 01/28/2020 |
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|