Brand Name | ALINITY C MAGNESIUM REAGENT KIT |
Type of Device | PHOTOMETRIC METHOD, MAGNESIUM |
Manufacturer (Section D) |
ABBOTT GMBH |
max-planck-ring 2 |
wiesbaden 65205 |
GM 65205 |
|
Manufacturer (Section G) |
ABBOTT GMBH |
max-planck-ring 2 |
|
wiesbaden 65205 |
GM
65205
|
|
Manufacturer Contact |
siobhan
wright
|
lisnamuck |
post market surveillance |
longford N39 E-932
|
EI
N39 E932
|
433331157
|
|
MDR Report Key | 14208161 |
MDR Text Key | 290077990 |
Report Number | 3002809144-2022-00136 |
Device Sequence Number | 1 |
Product Code |
JGJ
|
UDI-Device Identifier | 00380740121839 |
UDI-Public | 00380740121839 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K181748 |
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 |
06/01/2022 |
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 | 11/28/2022 |
Device Model Number | 08P1920 |
Device Catalogue Number | 08P19-20 |
Device Lot Number | 48252UN21 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
04/08/2022 |
Initial Date FDA Received | 04/26/2022 |
Supplement Dates Manufacturer Received | 05/27/2022
|
Supplement Dates FDA Received | 06/01/2022
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 12/23/2021 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
Treatment | ALNTY C PROCESSING MODU, 03R67-01, AC02697; ALNTY C PROCESSING MODU, 03R67-01, AC02697 |