Brand Name | ARCHITECT STAT TROPONIN-I REAGENT KIT |
Type of Device | IMMUNOASSAY METHOD, TROPONIN SUBUNIT |
Manufacturer (Section D) |
ABBOTT LABORATORIES |
100 abbott park road |
abbott park IL 60064 |
|
Manufacturer (Section G) |
ABBOTT LABORATORIES |
100 abbott park road |
|
abbott park IL 60064 |
|
Manufacturer Contact |
siobhan
wright
|
lisnamuck |
post market surveillance |
longford, IL N39 E-932
|
2246682940
|
|
MDR Report Key | 12639725 |
MDR Text Key | 281922306 |
Report Number | 1415939-2021-00041 |
Device Sequence Number | 1 |
Product Code |
MMI
|
UDI-Device Identifier | 00380740048525 |
UDI-Public | 00380740048525 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K041192 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial,Followup |
Report Date |
01/31/2022 |
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 Expiration Date | 08/31/2022 |
Device Model Number | 2K41-27 |
Device Catalogue Number | 02K41-27 |
Device Lot Number | 30327UN21 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
09/27/2021
|
Initial Date FDA Received | 10/15/2021 |
Supplement Dates Manufacturer Received | 01/10/2022
|
Supplement Dates FDA Received | 01/31/2022
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 08/31/2022 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
Treatment | ARC I1000SR INTGR, 01L86-40, (B)(6); ARC I1000SR INTGR, 01L86-40, (B)(6) |