| Brand Name | SOMATOM Definition AS |
| Common Device Name | System, X-Ray, Tomography, Computed |
| Manufacturer (Section D) |
| Siemens Healthineers AG |
| siemensstrasse 1 or |
| rittigfeld 1 |
| forchheim 91301 |
| GM 91301 |
|
| Manufacturer (Section G) |
| Siemens Healthineers AG |
| siemensstrasse 1 or |
| rittigfeld 1 |
| forchheim 91301 |
|
GM
91301
|
|
| Manufacturer Contact |
|
meredith
adams
|
| 40 liberty blvd. |
| malvern, PA 19355
|
|
+1(484)323-1631
|
|
| MDR Report Key | 50561712 |
| Report Number | 3004977335-2026-00155 |
| Device Sequence Number | 9914212 |
| Product Code |
JAK
|
| UDI-Device Identifier | 04056869003665 |
| UDI-Public | (01)04056869003665 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | BE |
| PMA/510(K) Number | K230421 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/02/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Health Professional
|
| Device Model Number | 08098027 |
| 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 | 08/20/2026 |
| Initial Report FDA Received Date | 09/02/2026 |
| 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 |
| Outcome Attributed to Adverse Event |
Hospitalization;
|
| Patient Sex | Unknown |
|
|