FDA Adverse Event Other Summary report: N

RAPIDLAB 1265

MDR report key: 1622866 · Received March 1, 2010

Report

Report Number
1217157-2010-00005
Event Type
Other
Date Received
March 1, 2010
Date of Event
February 11, 2010
Report Date
February 11, 2010
Manufacturer
SIEMENS MEDICAL SOLUTIONS DIAGNOSTICS, LTD.
Product Code
KHP
PMA / PMN Number
K034560
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER REPORTS THAT NO REPEAT TESTING WAS RUN AND THAT DURING THE PRIOR EVENING OF 2/10, A CLOTTED SAMPLE WAS RUN. THE INSTRUMENT IS PERFORMING ACCORDING TO SPECIFICATION.

Description of Event or Problem · 1

CUSTOMER REPORTS DISCORDANT LACTATE RESULTS ON PT. THE SYSTEM REPORTED LACTATE RESULTS OF 17.22 MMOL/L, 1.07 MMOL/L AND 4.16 MMOL/L ON THE SAME PT. THE SYSTEM PASSED CALIBRATION INSPECTION AND QUALITY CONTROL FOR THREE LEVELS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RAPIDLAB 1265 RAPIDLAB 1265 KHP SIEMENS MEDICAL SOLUTIONS DIAGNOSTICS, LTD. 1265

Patients

Seq Age Sex Outcome Treatment
1