Brand Name | ELECSYS FT4 III |
Type of Device | RADIOIMMUNOASSAY, FREE THYROXINE |
Manufacturer (Section D) |
ROCHE DIAGNOSTICS |
9115 hague road |
indianapolis IN 46250 0457 |
|
Manufacturer (Section G) |
ROCHE DIAGNOSTICS GMBH |
sandhofer strasse 116 |
|
mannheim (baden-wurttemberg) 68305 |
GM
68305
|
|
Manufacturer Contact |
amy
nelson
|
9115 hague road |
indianapolis, IN 46250
|
|
MDR Report Key | 17613542 |
MDR Text Key | 322709305 |
Report Number | 1823260-2023-02758 |
Device Sequence Number | 1 |
Product Code |
CEC
|
Combination Product (y/n) | Y |
Reporter Country Code | JA |
PMA/PMN Number | K131244 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,User Facility |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial,Followup |
Report Date |
11/21/2023 |
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 | 07976836190 |
Device Lot Number | 663936 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
07/28/2023
|
Initial Date FDA Received | 08/24/2023 |
Supplement Dates Manufacturer Received | 10/31/2023
|
Supplement Dates FDA Received | 11/21/2023
|
Was Device Evaluated by Manufacturer? |
Yes
|
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
|
|