| Brand Name | ARCHITECT I2000SR PROCESSING MODULE |
| Common Device Name | ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE |
| Manufacturer (Section D) |
| ABBOTT LABORATORIES |
| 1915 hurd drive |
| irving TX 75038 |
|
| Manufacturer (Section G) |
| ABBOTT LABORATORIES |
| 1915 hurd drive |
|
| irving TX 75038 |
|
| Manufacturer Contact |
|
nicole
jenne
|
| max-planck-ring 2 |
| post market surveillance |
| wiesbaden 65205
|
|
GM
65205
|
|
6122582960
|
|
| MDR Report Key | 24766378 |
| Report Number | 3016438761-2026-00188 |
| Device Sequence Number | 18716904 |
| Product Code |
JJE
|
| UDI-Device Identifier | 00380740006235 |
| UDI-Public | (01)00380740006235 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| 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 |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
06/04/2026 |
| 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 Expiration Date | 06/16/2026 |
| Device Catalogue Number | 03M74-02 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 03/23/2026 |
| Supplement Date Received by Manufacturer | 06/03/2026
|
| Initial Report FDA Received Date | 04/02/2026 |
| Supplement Report FDA Received Date | 06/04/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 10/24/2019 |
| 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
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | ARC FT4 500T (CN), 07K65-78, 77458UD03 |
| Patient Age | 32 YR |
| Patient Sex | Female |