| Brand Name | IMMULITE 2000 IGFBP-3 |
| Common Device Name | Radioimmunoassay, Human Growth Hormone |
| Manufacturer (Section D) |
| Siemens Healthcare Diagnostics Products, Limited |
| glyn rhonwy, gwynedd |
| uk registration # 3002806944 |
| llanberis LL554 EL |
| UK LL554EL |
|
| Manufacturer (Section G) |
| Siemens Healthcare Diagnostics Products, Limited |
| glyn rhonwy, gwynedd |
| uk registration #: 3002806944 |
| llanberis LL554 EL |
|
UK
LL554EL
|
|
| Manufacturer Contact |
|
jennifer
cacace
|
| 333 coney street |
| east walpole, MA 02032
|
|
+1(802)430-2902
|
|
| MDR Report Key | 50252605 |
| Report Number | 1219913-2026-00160 |
| Device Sequence Number | 21374757 |
| Product Code |
CFL
|
| UDI-Device Identifier | 00630414966113 |
| UDI-Public | (01)00630414966113(10)446(17)270226 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | Exempt |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| 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) |
08/24/2026 |
| 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 | 10381447 |
| Device Lot Number | 446 |
| 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 | 07/28/2026 |
| Supplement Date Received by Manufacturer | Not provided
|
| Initial Report FDA Received Date | 08/14/2026 |
| Supplement Report FDA Received Date | 08/24/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 03/25/2026 |
| 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
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|