FDA Adverse Event Other Summary report: N

IMMULITE 1000 TURBO INTACT PTH

MDR report key: 1423276 · Received March 23, 2009

Report

Report Number
2017183-2009-00011
Event Type
Other
Date Received
March 23, 2009
Date of Event
February 5, 2009
Report Date
February 12, 2009
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
TX, 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 EVAL 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 PT SAMPLE DURING SURGERY. INITIAL RESULT PRIOR TO THE PROCEDURE WAS IN NORMAL RANGE AND CONFIRMED WITH REPEATED RESULT. PHYSICIAN QUESTIONED THE RESULTS. THE SAME SAMPLE WAS REPEATED WITH HIGH RESULTS. PT'S TREATMENT WAS NOT ALTERED AND THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT INTACT PTH ASSAY RESULT.

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 152

Patients

Seq Age Sex Outcome Treatment
1 Other