| Brand Name | DianaTM Automated Drug Compounding System |
| Common Device Name | System/device, pharmacy compounding |
| Manufacturer (Section D) |
| ICU Medical Costa Rica Ltd. |
| zona franca global |
| la aurora heredia |
| CS |
|
| Manufacturer Contact |
|
reed
covert
|
| 600 n. field dr. |
| lake forest, IL 60045
|
|
+1(224)706-2300
|
|
| MDR Report Key | 50045922 |
| Report Number | 9615050-2026-00800 |
| Device Sequence Number | 9481546 |
| Product Code |
NEP
|
| UDI-Device Identifier | 00840619054908 |
| UDI-Public | (01)00840619054908 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NA |
| Initial Reporter Country | AS |
| PMA/510(K) Number | unknown |
| 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 |
| Report Date (Section B) |
07/27/2026 |
| 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 | CH5000 |
| 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 | 07/07/2026 |
| Initial Report FDA Received Date | 07/27/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |