Brand Name | AU480 CLINICAL CHEMISTRY ANALYZER |
Type of Device | ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE) FOR CLINICAL USE |
Manufacturer (Section D) |
BECKMAN COULTER |
250 s. kramer blvd |
brea CA 92821 8000 |
|
Manufacturer (Section G) |
BECKMAN COULTER MISHIMA K. K |
beckman coulter mishima k.k |
452-32 higashino |
JP-NO TA 4 |
JA
JP-NOTA 41
|
|
Manufacturer Contact |
david
davis
|
250 s. kraemer blvd. |
m/s e1.se.01 |
brea, CA 92821-8000
|
7149613796
|
|
MDR Report Key | 6709014 |
MDR Text Key | 80073856 |
Report Number | 9612296-2017-00026 |
Device Sequence Number | 0 |
Product Code |
JGS
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K112412 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
health professional,user faci |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
06/20/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 07/12/2017 |
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | AU481-10 |
Device Catalogue Number | B11810 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
No
|
Date Manufacturer Received | 06/20/2017 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 01/01/2015 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |