Brand Name | ELECSYS HSV-2 IGG IMMUNOASSAY |
Type of Device | HERPES SIMPLEX VIRUS SEROLOGICAL ASSAYS |
Manufacturer (Section D) |
ROCHE DIAGNOSTICS |
9115 hague road |
indianapolis IN 46250 0457 |
|
MDR Report Key | 7906288 |
MDR Text Key | 124683258 |
Report Number | 1823260-2018-03284 |
Device Sequence Number | 1 |
Product Code |
MYF
|
UDI-Device Identifier | 04015630939053 |
UDI-Public | 04015630939053 |
Combination Product (y/n) | N |
PMA/PMN Number | K121895 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
foreign,health professional,u |
Type of Report
| Initial,Followup,Followup,Followup |
Report Date |
08/08/2019 |
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 | ASKU |
Device Lot Number | 258198 |
Was Device Available for Evaluation? |
Yes
|
Initial Date Manufacturer Received |
09/04/2018
|
Initial Date FDA Received | 09/25/2018 |
Supplement Dates Manufacturer Received | 09/04/2018 09/04/2018 09/04/2018
|
Supplement Dates FDA Received | 10/01/2018 11/05/2018 08/08/2019
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |