Brand Name | WITHINGS, WPM05 |
Type of Device | BLOOD PRESSURE MONITOR |
Manufacturer (Section D) |
GUANGDONG TRANSTEK MEDICAL ELECTRONICS CO.,LTD |
zone b, no.105 dongli road |
torch development district |
zhongshan, guangdong 52843 7 |
CH 528437 |
|
Manufacturer (Section G) |
GUANGDONG TRANSTEK MEDICAL ELECTRONICS CO.,LTD |
zone b, no.105 dongli road |
torch development district |
zhongshan, guangdong 52843 7 |
CH
528437
|
|
Manufacturer Contact |
vince
zeng
|
zone b, no.105 dongli road |
torch development district |
zhongshan, guangdong 52843-7
|
CH
528437
|
|
MDR Report Key | 9754122 |
MDR Text Key | 199054651 |
Report Number | 3011420269-2020-00001 |
Device Sequence Number | 1 |
Product Code |
DXN
|
UDI-Device Identifier | 03700546705984 |
UDI-Public | 03700546705984 |
Combination Product (y/n) | N |
Reporter Country Code | FR |
PMA/PMN Number | K131395 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
consumer,distributor,foreign |
Reporter Occupation |
Non-Healthcare Professional
|
Remedial Action |
Replace |
Type of Report
| Initial |
Report Date |
01/29/2020,02/25/2020 |
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 |
Lay User/Patient
|
Device Model Number | WPM05 |
Was Device Available for Evaluation? |
No
|
Was the Report Sent to FDA? |
No
|
Distributor Facility Aware Date | 01/26/2020 |
Device Age | 7 MO |
Event Location |
Home
|
Date Report to Manufacturer | 01/29/2020 |
Initial Date Manufacturer Received |
01/29/2020 |
Initial Date FDA Received | 02/26/2020 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 07/23/2019 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
|
|