Brand Name | ALINIQ AMS |
Type of Device | CALCULATOR/DATA PROCESSING MODULE, FOR CLINICAL USE |
Manufacturer (Section D) |
ABBOTT SRL |
via giorgio ribotta 9 |
rome 00144 |
IT 00144 |
|
Manufacturer (Section G) |
ABBOTT SRL |
via giorgio ribotta 9 |
|
rome 00144 |
IT
00144
|
|
Manufacturer Contact |
siobhan
wright
|
lisnamuck |
post market surveillance |
longford N39 E-932
|
EI
N39 E932
|
433331157
|
|
MDR Report Key | 14219323 |
MDR Text Key | 299276169 |
Report Number | 3004032053-2022-00004 |
Device Sequence Number | 1 |
Product Code |
JQP
|
UDI-Device Identifier | 00380740158255 |
UDI-Public | 00380740158255 |
Combination Product (y/n) | N |
Reporter Country Code | BR |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional |
Reporter Occupation |
Other Health Care Professional
|
Remedial Action |
Notification |
Type of Report
| Initial |
Report Date |
04/27/2022 |
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 Model Number | 03R89-21 |
Device Catalogue Number | 03R89-21 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
04/14/2022
|
Initial Date FDA Received | 04/27/2022 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Removal/Correction Number | N/A |
Patient Sequence Number | 1 |
Treatment | ABBOTTLINK 5.10, LIST N/A, SERIAL NUMBER, N/A |