| Brand Name | Alinity I Free T4 Reagent Kit |
| Common Device Name | Radioimmunoassay, free thyroxine |
| Manufacturer (Section D) |
| Abbott Ireland Diagnostics Division |
| lisnamuck |
| co. longford |
| longford N39E9 32 |
| EI N39E932 |
|
| Manufacturer (Section G) |
| Abbott Ireland Diagnostics Division |
| lisnamuck |
| co. longford |
| longford N39E9 32 |
|
EI
N39E932
|
|
| Manufacturer Contact |
|
nicole
jenne
|
| max-planck-ring 2 |
| post market surveillance |
| wiesbaden 65205
|
|
GM
65205
|
|
+49()6122582960
|
|
| MDR Report Key | 50916380 |
| Report Number | 3005094123-2026-00486 |
| Device Sequence Number | 20278238 |
| Product Code |
CEC
|
| UDI-Device Identifier | 00380740121822 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | SF |
| PMA/510(K) Number | K173122 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/28/2026 |
| 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 Catalogue Number | 07P70-30 |
| Device Lot Number | 86129UD00 |
| 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 | 09/08/2026 |
| Initial Report FDA Received Date | 09/28/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 04/16/2026 |
| 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 |
Concomitant Medical Products and Therapy/Usage Dates | ALNTY I PROCESSING MODU, 03R65-01,(b)(6). |
| Patient Age | 74 YR |
| Patient Sex | Female |