ARCHITECT HIV AG/AB COMBO 04J27-27

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2020-01-08 for ARCHITECT HIV AG/AB COMBO 04J27-27 manufactured by Abbott Gmbh.

MAUDE Entry Details

Report Number3002809144-2020-00026
MDR Report Key9565546
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2020-01-08
Date of Report2020-01-22
Date of Event2019-12-12
Date Mfgr Received2020-01-22
Device Manufacturer Date2019-11-06
Date Added to Maude2020-01-08
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactCHRISTIAN LEE
Manufacturer Street100 ABBOTT PARK ROAD DEPT 09B9, BLDG CP01-3
Manufacturer CityABBOTT PARK IL 600643537
Manufacturer CountryUS
Manufacturer Postal600643537
Manufacturer Phone224668-294
Manufacturer G1ABBOTT GMBH
Manufacturer StreetMAX-PLANCK-RING 2
Manufacturer CityWIESBADEN 65205
Manufacturer CountryGM
Manufacturer Postal Code65205
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARCHITECT HIV AG/AB COMBO
Generic NameHIV P24 ANTIGEN AND HIV-1/HIV-2 ANTIBODIES
Product CodeMZF
Date Received2020-01-08
Catalog Number04J27-27
Lot Number09424BE00
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT GMBH
Manufacturer AddressMAX-PLANCK-RING 2 WIESBADEN 65205 GM 65205


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-01-08

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