FDA Adverse Event Other Summary report: N

IMMULITE 2500 INTACT PTH

MDR report key: 1148643 · Received August 26, 2008

Report

Report Number
2017183-2008-00036
Event Type
Other
Date Received
August 26, 2008
Date of Event
July 21, 2008
Report Date
July 22, 2008
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
CEW
PMA / PMN Number
K013566
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS SENT TO THE CUSTOMER SITE. ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THAT THE CAUSE FOR THE DISCORDANT INTACT PTH RESULTS ARE UNKNOWN. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS.

Description of Event or Problem · 1

LOW IMMULITE 2500 INTACT PTH ASSAY RESULTS WERE OBTAINED ON TWO PATIENT SAMPLES. THE SAMPLES WERE RETESTED ON A DIFFERENT INSTRUMENT AND THE INTACT PTH RESULTS WERE POSITIVE ON BOTH SAMPLES. PATIENT'S TREATMENT WAS NOT ALTERED AND THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT INTACT PTH ASSAY RESULTS.

Additional Manufacturer Narrative · 2

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS SENT TO THE CUSTOMER SITE. ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THAT THE CAUSE FOR THE DISCORDANT INTACT PTH RESULTS ARE UNKNOWN. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS.

Description of Event or Problem · 2

LOW IMMULITE 2500 INTACT PTH ASSAY RESULTS WERE OBTAINED ON TWO PATIENT SAMPLES. THE SAMPLES WERE RETESTED ON A DIFFERENT INSTRUMENT AND THE INTACT PTH RESULTS WERE POSITIVE ON BOTH SAMPLES. PATIENT'S TREATMENT WAS NOT ALTERED AND THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT INTACT PTH ASSAY RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 2500 INTACT PTH INTACT PTH IMMUNOASSAY CEW SIEMENS HEALTHCARE DIAGNOSTICS INC. N/A 126

Patients

Seq Age Sex Outcome Treatment
1
2