Brand Name | STRATUS CS STAT FLUOROMETRIC ANALYZER |
Type of Device | STRATUS CS |
Manufacturer (Section D) |
SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW |
glasgow business community |
newark DE 19702 |
|
Manufacturer (Section G) |
SIEMENS HEALTHCARE DIAGNOSTICS INC |
62 flanders-bartley rd. |
|
flanders NJ 07836 |
|
Manufacturer Contact |
steven
andberg
|
2 edgewater drive |
norwood, MA 02062
|
7812693655
|
|
MDR Report Key | 5725827 |
MDR Text Key | 47417595 |
Report Number | 1217157-2016-00065 |
Device Sequence Number | 1 |
Product Code |
JHX
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K984067 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,user f |
Reporter Occupation |
Other Health Care Professional
|
Remedial Action |
Other |
Type of Report
| Initial,Followup |
Report Date |
06/23/2016 |
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
|
Device Operator |
Other Health Care Professional
|
Device Catalogue Number | 10444834 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
05/17/2016 |
Initial Date FDA Received | 06/15/2016 |
Supplement Dates Manufacturer Received | Not provided
|
Supplement Dates FDA Received | 06/23/2016
|
Was Device Evaluated by Manufacturer? |
Yes
|
Is the Device Single Use? |
No
|
Type of Device Usage |
Unknown
|
Removal/Correction Number | 1217157-06-17-2016-001-C |
Patient Sequence Number | 1 |