Brand Name | CENTRALINK DATA MANAGEMENT SYSTEM |
Type of Device | DATA MANAGER |
Manufacturer (Section D) |
SIEMENS HEALTHCARE DIAGNOSTICS INC. |
511 benedict ave. |
tarrytown NY 10591 |
|
Manufacturer (Section G) |
SIEMENS HEALTHCARE DIAGNOSTICSMANUFACTURING LTD |
registration #: 8020888 |
chapel lane |
swords, co, dublin 10040 |
EI
10040
|
|
Manufacturer Contact |
timothy
rice
|
511 benedict ave |
tarrytown, NY 10591
|
9145242406
|
|
MDR Report Key | 6324359 |
MDR Text Key | 67326536 |
Report Number | 2432235-2017-00113 |
Device Sequence Number | 1 |
Product Code |
JQP
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
health professional,user faci |
Reporter Occupation |
Health Professional
|
Type of Report
| Initial |
Report Date |
02/10/2017 |
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 | CENTRALINK DATA MANAGEMENT SYSTEM |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
01/16/2017
|
Initial Date FDA Received | 02/10/2017 |
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 |
Reuse
|
Patient Sequence Number | 1 |
Patient Age | 54 YR |