IMMULITE 2000 XPI - E2 10702833

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 2020-02-27 for IMMULITE 2000 XPI - E2 10702833 manufactured by Siemens Healthcare Diagnostics Products, Limited.

MAUDE Entry Details

Report Number2432235-2020-00172
MDR Report Key9763246
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2020-02-27
Date of Report2020-02-27
Date of Event2019-01-26
Date Mfgr Received2020-01-31
Date Added to Maude2020-02-27
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 ContactMR. MARDOCHEE TIMOLIEN
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN, NY
Manufacturer CountryUS
Manufacturer Phone5242503
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS, LIMITED
Manufacturer StreetGLYN RHONWY UK REGISTRATION #: 3002806944
Manufacturer CityLLANBERIS, LL554EL
Manufacturer CountryUK
Manufacturer Postal CodeLL55 4EL
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction Number2432235-02/10/2020-003-C
Event Type3
Type of Report3

Device Details

Brand NameIMMULITE 2000 XPI - E2
Generic NameIMMULITE 2000 XPI - E2
Product CodeCHP
Date Received2020-02-27
Model NumberIMMULITE 2000 XPI - E2
Catalog Number10702833
Lot NumberD506
Device Expiration Date2019-11-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS, LIMITED
Manufacturer AddressGLYN RHONWY LLANBERIS, LL554EL UK LL55 4EL


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-27

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