| Brand Name | ALINITY M RESP-4-PLEX AMP KIT |
| Common Device Name | REAGENTS, 2019-NOVEL CORONAVIRUS NUCLEIC ACID |
| Manufacturer (Section D) |
| ABBOTT MOLECULAR, INC. |
| 1300 e. touhy ave. |
| des plaines IL 60018 3315 |
|
| Manufacturer (Section G) |
| ABBOTT MOLECULAR, INC. |
| 1300 e. touhy ave. |
|
| des plaines IL 60018 3315 |
|
| Manufacturer Contact |
|
albert
chianello
|
| 1300 e. touhy ave. |
| des plaines, IL 60018-3315
|
|
2242064064
|
|
| MDR Report Key | 24840566 |
| Report Number | 3005248192-2026-00037 |
| Device Sequence Number | 9928185 |
| Product Code |
QJR
|
| UDI-Device Identifier | 00884999049390 |
| UDI-Public | (01)00884999049390(10)444189(17)261120(240)09N79-096 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NY |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
05/14/2026 |
| 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 | 09N79-096 |
| Device Lot Number | 444189 |
| 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 | 03/17/2026 |
| Supplement Date Received by Manufacturer | 04/24/2026
|
| Initial Report FDA Received Date | 04/10/2026 |
| Supplement Report FDA Received Date | 05/15/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 12/02/2025 |
| 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 |
| Patient Age | 15 MO |
| Patient Sex | Unknown |