CENTRALINK DATA MANAGEMENT SYSTEM 10815474

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2019-07-12 for CENTRALINK DATA MANAGEMENT SYSTEM 10815474 manufactured by Siemens Healthcare Diagnostics Inc..

MAUDE Entry Details

• Report Number: 2432235-2019-00237
• MDR Report Key: 8785476
• Report Source: HEALTH PROFESSIONAL,USER FACI
• Date Received: 2019-07-12
• Date of Report: 2019-07-12
• Date of Event: 2019-06-19
• Date Mfgr Received: 2019-06-20
• Date Added to Maude: 2019-07-12
• Event Key: 0
• Report Source Code: Manufacturer report
• Manufacturer Link: Y
• Number of Patients in Event: 0
• Adverse Event Flag: 3
• Product Problem Flag: 3
• Reprocessed and Reused Flag: 3
• Reporter Occupation: OTHER HEALTH CARE PROFESSIONAL
• Health Professional: 3
• Initial Report to FDA: 3
• Report to FDA: 3
• Event Location: 3
• Manufacturer Contact: KARL AEBIG
• Manufacturer Street: 511 BENEDICT AVE
• Manufacturer City: TARRYTOWN NY 10591
• Manufacturer Country: US
• Manufacturer Postal: 10591
• Manufacturer Phone: 9145243102
• Manufacturer G1: SIEMENS HEALTHCARE DIAGNOSTICS MANU LTD
• Manufacturer Street: REGISTRATION #: 8020888 CHAPEL LANE
• Manufacturer City: SWORDS, CO, 10040
• Manufacturer Country: EI
• Manufacturer Postal Code: 10040
• Single Use: 3
• Previous Use Code: 3
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: CENTRALINK DATA MANAGEMENT SYSTEM
• Generic Name: CENTRALINK DATA MANAGEMENT SYSTEM
• Product Code: JQP
• Date Received: 2019-07-12
• Model Number: CENTRALINK DATA MANAGEMENT SYSTEM
• Catalog Number: 10815474
• Operator: HEALTH PROFESSIONAL
• Device Availability: N
• Device Eval'ed by Mfgr: N
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: SIEMENS HEALTHCARE DIAGNOSTICS INC.
• Manufacturer Address: 511 BENEDICT AVE TARRYTOWN NY 10591 US 10591

Patients

Patient Number	Treatment	Outcome	Date
1	0		2019-07-12