FDA Adverse Event Other Summary report: N

RAPIDLAB 1265

MDR report key: 1622868 · Received March 1, 2010

Report

Report Number
1217157-2010-00006
Event Type
Other
Date Received
March 1, 2010
Date of Event
February 12, 2010
Report Date
February 12, 2010
Manufacturer
SIEMENS MEDICAL SOLUTIONS DIAGNOSTICS LTD.
Product Code
CHL
PMA / PMN Number
K031560
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PT SUBSEQUENTLY WAS TRANSFERRED TO ANOTHER HOSPITAL AND NEW SAMPLE WAS DRAWN AND TESTED WITH A DIFFERENT RAPIDLAB 1265 INSTRUMENT. RESULTS SHOWED 39.3 MMOL/L COMPARED WITH 30.2 MMOL/L ON BECKMAN ANALYZER. THE INSTRUMENT IS PERFORMING ACCORDING TO SPECIFICATION.

Description of Event or Problem · 1

CUSTOMER REPORTS A GLUCOSE RESULT OF 27.7 MMOL/L FOR A PT WITH CHRONIC RENAL FAILURE. ANOTHER SAMPLE OBTAINED AT THE SAME TIME WAS RUN ON A BECKMAN ANALYZER WITH A RESULT OF >70 MMOL/L. AN ADD'L SAMPLE FROM THE SAME PT WAS TESTED ON THE INSTRUMENT AND THE RESULT WAS 20.5 MMOL/L. WHEN TESTED ON THE BECKMAN ANALYZER THE RESULT WAS 86.8 MMOL/L. QUALITY CONTROL RUN ON BOTH ANALYZERS WERE WITHIN NORMAL RANGE. THERE WAS NO IMPACT TO A PT AS A RESULT OF THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1