FDA Adverse Event Other Summary report: N

DIMENSION CLINICAL CHEMISTRY SYSTEM

MDR report key: 1289477 · Received January 13, 2009

Report

Report Number
2517506-2009-00003
Event Type
Other
Date Received
January 13, 2009
Date of Event
December 29, 2008
Report Date
December 30, 2008
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS, INC.
Product Code
CIC
PMA / PMN Number
K860021
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THAT THE CAUSE FOR THE FALSELY DEPRESSED CALCIUM RESULT WAS SHORT SAMPLING DUE TO USER ERROR OF RUNNING A PRIMARY TUBE AS A SAMPLE CUP. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A FALSELY DEPRESSED CALCIUM RESULT WAS OBTAINED ON A PATIENT SAMPLE. THE RESULT WAS REPORTED TO THE PHYSICIAN. THE SAMPLE WAS REPEATED AND A NORMAL RESULT WAS OBTAINED. THE PATIENT WAS TREATED WITH INTRAVENOUS 10% CALCIUM GLUCONATE. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES AS A RESULT OF THE FALSELY DEPRESSED CALCIUM RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DIMENSION CLINICAL CHEMISTRY SYSTEM CA FLEX REAGENT CARTRIDGE CIC SIEMENS HEALTHCARE DIAGNOSTICS, INC. NA DA9206

Patients

Seq Age Sex Outcome Treatment
1 86 YR