Brand Name | ATELLICA CH LACTATE_2 (LAC_2) |
Type of Device | ATELLICA CH LACTATE_2 (LAC_2) |
Manufacturer (Section D) |
SIEMENS HEALTHCARE DIAGNOSTICS INC. |
511 benedict avenue |
tarrytown NY 10591 |
|
Manufacturer (Section G) |
RANDOX LABORATORIES LTD. |
55 diamond road |
registration # 8020890 |
crumlin co. antrim, BT29 4QY |
UK
BT29 4QY
|
|
Manufacturer Contact |
kristin
kehyaian
|
511 benedict ave |
tarrytown, NY 10591
|
9148267101
|
|
MDR Report Key | 13607756 |
MDR Text Key | 296485133 |
Report Number | 2432235-2022-00056 |
Device Sequence Number | 1 |
Product Code |
KHP
|
UDI-Device Identifier | 00630414287270 |
UDI-Public | 00630414287270 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,User Facility |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
02/25/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 02/25/2022 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 06/01/2022 |
Device Model Number | ATELLICA CH LACTATE_2 (LAC_2) |
Device Catalogue Number | 11532568 |
Device Lot Number | 211376 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 02/07/2022 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |