| Brand Name | Atellica IM Intact Parathyroid Hormone (PTH) |
| Common Device Name | Radioimmunoassay, Parathyroid Hormone |
| Manufacturer (Section D) |
| Siemens Healthcare Diagnostics, Inc. |
| 511 benedict ave |
| tarrytown NY 10591 |
|
| Manufacturer (Section G) |
| Siemens Healthcare Diagnostics, Inc. |
| 333 coney st. |
| registration # 1219913 |
| east walpole NY 02032 |
|
| Manufacturer Contact |
|
stacy
loukos
|
| 333 coney st. |
| east walpole, MA 02032
|
|
| MDR Report Key | 50440902 |
| Report Number | 1219913-2026-00169 |
| Device Sequence Number | 15667245 |
| Product Code |
CEW
|
| UDI-Device Identifier | 00630414599441 |
| UDI-Public | (01)00630414599441(10)18035111(17)261214 |
| Combination Product (Y/N) | N |
| Initial Reporter State | WV |
| Initial Reporter Country | US |
| PMA/510(K) Number | K163658K1636 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/25/2026 |
| 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
|
| Device Model Number | N/A |
| Device Catalogue Number | 10995621 |
| Device Lot Number | 18035111 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/29/2026 |
| Initial Report FDA Received Date | 08/25/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 10/14/2025 |
| 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 Sex | Unknown |