ALINITY I TSH REAGENT KIT 07P4830 07P48-30

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 2020-02-26 for ALINITY I TSH REAGENT KIT 07P4830 07P48-30 manufactured by Abbott Ireland Diagnostics Division Longford.

MAUDE Entry Details

Report Number3005094123-2020-00054
MDR Report Key9757699
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2020-02-26
Date of Report2020-02-26
Date of Event2020-01-07
Date Mfgr Received2020-02-06
Device Manufacturer Date2019-06-06
Date Added to Maude2020-02-26
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 IRELAND DIAGNOSTICS DIVISION LONGFORD
Manufacturer StreetLISNAMUCK CO. LONGFORD
Manufacturer CityLONGFORD NA
Manufacturer CountryEI
Manufacturer Postal CodeNA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameALINITY I TSH REAGENT KIT
Generic NameTHYROID STIMULATING HORMONE (TSH)
Product CodeJLW
Date Received2020-02-26
Model Number07P4830
Catalog Number07P48-30
Lot Number04272UI00
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerABBOTT IRELAND DIAGNOSTICS DIVISION LONGFORD
Manufacturer AddressLISNAMUCK CO. LONGFORD LONGFORD NA EI NA


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-26

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