| Brand Name | ADVIA Centaur Progesterone |
| Common Device Name | Radioimmunoassay, Progesterone |
| 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 MA 02032 |
|
| Manufacturer Contact |
|
barry
memishian
|
| 333 coney st. |
| east walpole, MA 02032
|
|
+1(508)298-5306
|
|
| MDR Report Key | 50785818 |
| Report Number | 1219913-2026-00177 |
| Device Sequence Number | 9442912 |
| Product Code |
JLS
|
| UDI-Device Identifier | 00630414454641 |
| UDI-Public | (01)00630414454641(10)69337333(17)270312 |
| 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) |
09/29/2026 |
| 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 | 10315522 |
| Device Lot Number | 69337333 |
| 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 | 09/14/2026 |
| Supplement Date Received by Manufacturer | 09/28/2026
|
| Initial Report FDA Received Date | 09/16/2026 |
| Supplement Report FDA Received Date | 09/29/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 03/12/2026 |
| 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
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Female |