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 |