| Brand Name | ATELLICA IM 1600 ANALYZER |
| Common Device Name | ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE |
| Manufacturer (Section D) |
| SIEMENS HEALTHCARE DIAGNOSTICS INC. |
| 511 benedict avenue |
| tarrytown NY 10591 |
|
| Manufacturer (Section G) |
| SIEMENS HEALTHCARE DIAGNOSTICS MANUFACTURING LIMITED |
| chapel lane, swords, co |
|
| yonkers SWORD S, C |
|
EI
SWORDS, CO
|
|
| Manufacturer Contact |
|
karl
aebig
|
| 511 benedict ave. |
| tarrytown, NY 10591
|
|
9142550572
|
|
| MDR Report Key | 24279296 |
| Report Number | 2432235-2026-00029 |
| Device Sequence Number | 13243479 |
| Product Code |
JJE
|
| UDI-Device Identifier | 00630414002026 |
| UDI-Public | (01)00630414002026 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | SZ |
| PMA/510(K) Number | K151792 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
02/09/2026 |
| 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
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 11066000 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 01/19/2026 |
| Supplement Date Received by Manufacturer | 02/06/2026
|
| Initial Report FDA Received Date | 02/06/2026 |
| Supplement Report FDA Received Date | 02/09/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 11/28/2023 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|