FDA.reportPublic FDA data

MAUDE MDR 9235404

MDR report key
9235404
Report number
3002809144-2019-00720
Event key
0
Event type
3
Date of event
2019-10-12
Date received
2019-10-24
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
CHRISTIAN LEE
Address
100 ABBOTT PARK ROAD DEPT 09B9, BLDG CP01-3 ABBOTT PARK IL 60064 US
Phone
224-224-2246
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ARCHITECT HIV AG/AB COMBOHIV P24 ANTIGEN AND HIV-1/HIV-2 ANTIBODIESABBOTT GERMANYMZF04J27-7802262BE01N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-240

Event Narratives#

No narrative records found.