FDA Adverse Event Other Summary report: N

IMMULITE 2000

MDR report key: 1513026 · Received October 19, 2009

Report

Report Number
2247117-2009-00041
Event Type
Other
Date Received
October 19, 2009
Date of Event
October 2, 2009
Report Date
October 7, 2009
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
DGC
PMA / PMN Number
K970227
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

USER ERROR: A SIEMENS HEALTHCARE FIELD SERVICE ENGINEER (FSE) WAS SENT TO THE CUSTOMER SITE. ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THAT THE CAUSE OF THE DISCORDANT INTACT PTH (IPT) RESULTS WERE DUE TO THE OPERATOR'S SAMPLE HANDLING. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

DISCORDANT INTACT PTH (IPT) RESULTS WERE OBTAINED ON TWO PT SAMPLES. THE SAMPLES WERE REPEATED, AND THE RESULTS WERE RELEASED. PTS' TREATMENTS WERE NOT ALTERED OR PRESCRIBED. THERE WERE NO REPORT OF ADVERSE HEALTH CONSEQUENCE AS A RESULT OF THE DISCORDANT INTACT PTH (IPT) RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 2000 IMMUNO-ASSAY ANALYZER DGC SIEMENS HEALTHCARE DIAGNOSTICS INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1