ALINITY C CREATININE 07P9920 07P99-20

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 2020-01-28 for ALINITY C CREATININE 07P9920 07P99-20 manufactured by Abbott Gmbh.

MAUDE Entry Details

• Report Number: 3002809144-2020-00072
• MDR Report Key: 9639133
• Report Source: FOREIGN,HEALTH PROFESSIONAL
• Date Received: 2020-01-28
• Date of Report: 2020-01-28
• Date of Event: 2018-11-12
• Date Mfgr Received: 2020-01-21
• Device Manufacturer Date: 2018-03-01
• Date Added to Maude: 2020-01-28
• 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: CHRISTIAN LEE
• Manufacturer Street: 100 ABBOTT PARK ROAD DEPT 09B9, BLDG CP01-3
• Manufacturer City: ABBOTT PARK IL 600643537
• Manufacturer Country: US
• Manufacturer Postal: 600643537
• Manufacturer Phone: 224668-294
• Manufacturer G1: ABBOTT GMBH
• Manufacturer Street: MAX-PLANCK-RING 2
• Manufacturer City: WIESBADEN 65205
• Manufacturer Country: GM
• Manufacturer Postal Code: 65205
• Single Use: 3
• Previous Use Code: 3
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: ALINITY C CREATININE
• Generic Name: CREATININE
• Product Code: CGX
• Date Received: 2020-01-28
• Model Number: 07P9920
• Catalog Number: 07P99-20
• Lot Number: 75413UN17
• Device Expiration Date: 2018-12-19
• Operator: HEALTH PROFESSIONAL
• Device Availability: N
• Device Eval'ed by Mfgr: Y
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: ABBOTT GMBH
• Manufacturer Address: MAX-PLANCK-RING 2 WIESBADEN 65205 GM 65205

Patients

Patient Number	Treatment	Outcome	Date
1	0		2020-01-28