Brand Name | NEUMODX SARS-COV-2 TEST STRIP |
Type of Device | SARS-COV-2 COVID-19 |
Manufacturer (Section D) |
NEUMODX MOLECULAR |
1250 eisenhower place |
ann arbor, mi MI 48108 |
|
Manufacturer (Section G) |
NEUMODX MOLECULAR |
1250 eisenhower place |
|
ann arbor MI 48108 |
|
Manufacturer Contact |
autumn
collasius
|
1250 eisenhower place |
ann arbor, MI 48108
|
7345270100
|
|
MDR Report Key | 16298777 |
MDR Text Key | 308887756 |
Report Number | 3010729479-2023-00004 |
Device Sequence Number | 1 |
Product Code |
QJR
|
UDI-Device Identifier | 10814278021264 |
UDI-Public | 10814278021264 |
Combination Product (y/n) | N |
Reporter Country Code | GM |
PMA/PMN Number | EUA200073 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,User Facility |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
02/03/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 02/03/2023 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Other
|
Device Expiration Date | 08/05/2023 |
Device Model Number | 300800 |
Device Catalogue Number | 300800 |
Device Lot Number | 121780 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 01/05/2023 |
Was Device Evaluated by Manufacturer? |
No
|
Date Device Manufactured | 08/11/2022 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |