| Brand Name | FlexLab |
| Common Device Name | Laboratory Automation System |
| Manufacturer (Section D) |
| Inpeco SA |
| via torraccia 26 |
| novazzano, 6883 |
| SZ 6883 |
|
| Manufacturer (Section G) |
| Inpeco SpA |
| via givoletto |
|
| val della torre, 10040 |
|
IT
10040
|
|
| Manufacturer Contact |
|
eva
balzarotti
|
| via torraccia 26 |
| novazzano, 6883
|
|
SZ
6883
|
|
| MDR Report Key | 50156275 |
| Report Number | 3010825766-2026-00004 |
| Device Sequence Number | 16129505 |
| Product Code |
JQP
|
| UDI-Device Identifier | 07640172340004 |
| UDI-Public | (01)07640172340004(11)230620 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NY |
| Initial Reporter Country | US |
| PMA/510(K) Number | k121012 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Y |
| Reporter Type |
Manufacturer
|
| Report Source |
Distributor |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/25/2026 |
| 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
|
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/07/2026 |
| Supplement Date Received by Manufacturer | 08/26/2026
|
| Initial Report FDA Received Date | 08/06/2026 |
| Supplement Report FDA Received Date | 09/25/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |
|
|