FDA Adverse Event Other Summary report: N

IMMULITE 1000 TURBO INTACT PTH

MDR report key: 1313235 · Received February 13, 2009

Report

Report Number
2017183-2008-00071
Event Type
Other
Date Received
February 13, 2009
Date of Event
November 18, 2008
Report Date
November 20, 2008
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
CEW
PMA / PMN Number
K053533
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, 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 INSTRUMENT AND DATA DID NOT INDICATE SYSTEM ERROR. THE CAUSE FOR THE DISCORDANT STAT INTACT PTH RESULTS IS UNKNOWN. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS.

Description of Event or Problem · 1

A DISCORDANT LOW POSITIVE IMMULITE 2500 STAT INTACT PTH WAS OBTAINED ON A PATIENT SAMPLE DURING SURGERY. INITIAL RESULT PRIOR TO THE PROCEDURE WAS IN NORMAL RANGE AND CONFIRMED WITH REPEATED RESULT. THE SURGERY PROCEDURE WAS CEASED WHEN THE LOW DISCORDANT RESULT REPORTED TO THE PHYSICIAN. THE SAME SAMPLE WAS REPEATED WITH HIGH RESULTS. POST-SURGERY SAMPLE ASSAY RESULTS WERE ALSO GENERATED AS HIGH RESULTS. THE PATIENT HAD A SECOND SURGERY DUE TO THE LOW DISCORDANT RESULT. PATIENT TREATMENT WAS ALTERED BASED ON THE LOWER ASSAY RESULT. THE REPORT INDICATED THAT PATIENT SURGERY WAS INTERVENED, DUE TO THE DISCORDANT INTACT PTH ASSAY RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 1000 TURBO INTACT PTH INTACT PTH IMMUNOASSAY CEW SIEMENS HEALTHCARE DIAGNOSTICS INC. NA 151

Patients

Seq Age Sex Outcome Treatment
1 Other