| Brand Name | ATELLICA IM HIGH-SENSITIVITY TROPONIN I (TNIH) |
| Common Device Name | IMMUNOASSAY METHOD, TROPONIN SUBUNIT |
| Manufacturer (Section D) |
| SIEMENS HEALTHCARE DIAGNOSTICS, INC. |
| 511 benedict ave |
| tarrytown NY 10591 |
|
| Manufacturer (Section G) |
| SIEMENS HEALTHCARE DIAGNOSTICS, INC. |
| 333 coney st. |
| registration #1219913 |
| east walpole MA 02032 |
|
| Manufacturer Contact |
|
barry
memishian
|
| 333 coney st. |
| east walpole, MA 02032
|
|
5082985306
|
|
| MDR Report Key | 24997367 |
| Report Number | 1219913-2026-00084 |
| Device Sequence Number | 9814178 |
| Product Code |
MMI
|
| UDI-Device Identifier | 00630414006758 |
| UDI-Public | (01)00630414006758(10)82273113(17)261015 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | BE |
| PMA/510(K) Number | K241165 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| 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) |
05/12/2026 |
| 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 Model Number | N/A |
| Device Catalogue Number | 10997841 |
| Device Lot Number | 82273113 |
| 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 | 04/23/2026 |
| Supplement Date Received by Manufacturer | 05/12/2026
|
| Initial Report FDA Received Date | 04/27/2026 |
| Supplement Report FDA Received Date | 05/12/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 07/15/2025 |
| 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
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Age | 43 YR |
| Patient Sex | Male |