Brand Name | CLINITEK 50 URINE CHEMISTRY ANALYZER |
Type of Device | CLINITEK 50 |
Manufacturer (Section D) |
BAYER CORPORATION |
1884 miles ave |
p.o. box 70 |
elkhart IN 46514 |
|
Manufacturer (Section G) |
SIEMENS HEALTHCARE DIAGNOSTICS INC. |
511 benedict avenue |
|
tarrytown NY 10591 |
|
Manufacturer Contact |
felix
akinrinola
|
2 edgewater drive |
norwood, MA 02062
|
6107052212
|
|
MDR Report Key | 13549233 |
MDR Text Key | 285743890 |
Report Number | 3002637618-2022-00009 |
Device Sequence Number | 1 |
Product Code |
KQO
|
Combination Product (y/n) | Y |
Reporter Country Code | US |
PMA/PMN Number | K960546 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
User Facility,Company Representative |
Reporter Occupation |
Other Health Care Professional
|
Remedial Action |
Replace |
Type of Report
| Initial |
Report Date |
02/17/2022 |
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 Catalogue Number | 10339859 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
01/19/2022
|
Initial Date FDA Received | 02/17/2022 |
Was Device Evaluated by Manufacturer? |
No
|
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 |