FDA Adverse Event Other Summary report: N

IMMULITE 2500 STAT TROPONIN I

MDR report key: 1240872 · Received November 6, 2008

Report

Report Number
2017183-2008-00048
Event Type
Other
Date Received
November 6, 2008
Date of Event
September 14, 2008
Report Date
September 15, 2008
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
MMI
PMA / PMN Number
K034055
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE. ANALYSIS OF INSTRUMENT DIDN'T INDICATE SYSTEM ERROR AND SUSPECTED THAT FIBRIN IN THE SAMPLE MAY HAVE CAUSED THE DISCREPANT RESULT. NO FURTHER EVAL OF THE DEVICE IS REQUIRED. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS.

Description of Event or Problem · 1

A NEGATIVE IMMULITE 2500 TROPONIN RESULT WAS OBTAINED ON A PT SAMPLE. THE SAMPLE WAS REPEATED AND THE TROPONIN RESULT WAS POSITIVE. THE SAMPLE WAS RETESTED AGAIN (2X) AND THE TROPONIN RESULTS WERE NEGATIVE WHICH CONFIRMED THE INITIAL NEGATIVE RESULT. PT TREATMENT WAS NOT ALTERED AND THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT STAT TROPONIN ASSAY RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 2500 STAT TROPONIN I TROPONIN IMMUNOASSAY MMI SIEMENS HEALTHCARE DIAGNOSTICS INC. NA 133

Patients

Seq Age Sex Outcome Treatment
1