FDA Adverse Event Other Summary report: N

DIMENSION CLINICAL CHEMISTRY SYSTEM

MDR report key: 1213682 · Received October 24, 2008

Report

Report Number
2517506-2008-00097
Event Type
Other
Date Received
October 24, 2008
Date of Event
September 26, 2008
Report Date
October 1, 2008
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS, INC.
Product Code
MMI
PMA / PMN Number
K010313
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THAT THE CAUSE FOR THE FALSELY ELEVATED TROPONIN I RESULT IS UNKNOWN. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A FALSELY ELEVATED TROPONIN I RESULT WAS OBTAINED ON A PATIENT SAMPLE. THE RESULT WAS REPORTED TO THE PHYSICIAN. THE SAMPLE WAS REPEATED AND A NEGATIVE RESULT WAS OBTAINED. PT UNDERWENT A CARDIAC CATHETERIZATION. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES AS A RESULT OF THE FALSELY ELEVATED TROPONIN I RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DIMENSION CLINICAL CHEMISTRY SYSTEM CTNI FLEX REAGENT CARTRIDGE MMI SIEMENS HEALTHCARE DIAGNOSTICS, INC. NA DB9162

Patients

Seq Age Sex Outcome Treatment
1