| Brand Name | i-STAT ACT Celite Cartridge |
| Common Device Name | ACT Celite Cartridge |
| Manufacturer (Section D) |
| Abbott Point of Care Inc. |
| 400 college road |
| princeton NJ 08540 |
|
| Manufacturer (Section G) |
| Abbott Point of Care Canada Ltd. |
| 185 corkstown road |
|
| ottawa, ontario K2H 8 V4 |
|
CA
K2H 8V4
|
|
| Manufacturer Contact |
|
linda
maczuszenko
|
| 400 college road |
| princeton, nj 08540
|
|
*
08540
|
|
| MDR Report Key | 50161133 |
| Report Number | 2245578-2026-00164 |
| Device Sequence Number | 9103611 |
| Product Code |
JBP
|
| UDI-Device Identifier | 10054749000149 |
| UDI-Public | 10054749000149 |
| Combination Product (Y/N) | N |
| Initial Reporter State | WI |
| Initial Reporter Country | US |
| PMA/510(K) Number | K992571 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/06/2026 |
| 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 Expiration Date | 10/05/2026 |
| Device Catalogue Number | 03P86-25 |
| Device Lot Number | R26098 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 07/31/2026 |
| Initial Report FDA Received Date | 08/06/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 04/08/2026 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
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 | 71 YR |
| Patient Sex | Male |