| Brand Name | DIMENSION TACROLIMUS FLEX REAGENT CARTRIDGE |
| Common Device Name | ENZYME IMMUNOASSAY, TACROLIMUS |
| Manufacturer (Section D) |
| SIEMENS HEALTHCARE DIAGNOSTICS INC. |
| 500 gbc drive |
| po box 6101 |
| newark DE 19714 6101 |
|
| Manufacturer (Section G) |
| SIEMENS HEALTHCARE DIAGNOSTICS INC. |
| 500 gbc drive po box 6101 |
| registration # 2517506 |
| newark DE 19714 6101 |
|
| Manufacturer Contact |
|
eiman
sulieman
|
| 500 gbc drive |
| po box 6101 |
| newark, DE 19714-6101
|
|
7372808688
|
|
| MDR Report Key | 25046298 |
| Report Number | 2517506-2026-00079 |
| Device Sequence Number | 15845657 |
| Product Code |
MLM
|
| UDI-Device Identifier | 00842768035425 |
| UDI-Public | (01)00842768035425(10)GA7007(17)270107 |
| Combination Product (Y/N) | N |
| Initial Reporter State | OR |
| Initial Reporter Country | US |
| PMA/510(K) Number | K150168 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
06/17/2026 |
| 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 | 10700795 |
| Device Lot Number | GA7007 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Follow-Up |
| Initial Date Received by Manufacturer | 04/23/2026 |
| Supplement Date Received by Manufacturer | 06/08/2026
|
| Initial Report FDA Received Date | 04/30/2026 |
| Supplement Report FDA Received Date | 06/17/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 01/21/2026 |
| 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 | 35 YR |
| Patient Sex | Female |