FDA Adverse Event Other Summary report: N

IMMULITE 2000 AFP

MDR report key: 1659077 · Received April 12, 2010

Report

Report Number
2017183-2010-00016
Event Type
Other
Date Received
April 12, 2010
Report Date
March 15, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
GKZ
PMA / PMN Number
K983263
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ANALYSIS OF THE SYSTEM DATA INDICATE THAT THERE ARE NO KNOWN CAUSES WHICH MAY HAVE CONTRIBUTED TO THE DISCORDANT LOW IMMULITE 2000 AFP TEST RESULTS. THERE IS NO EVIDENCE OF ANY PT SAMPLE INTERFERENCE SUBSTANCE. THERE IS INSUFFICIENT DISCORDANT PATIENT SAMPLE AVAILABLE FOR F/U INVESTIGATION AND THE CUSTOMER HAS NOT PROVIDED ANY ADD'L INFORMATION. NO FURTHER EVAL OF THE DEVICE IS REQUIRED AT THIS TIME.

Description of Event or Problem · 1

A DISCORDANT LOW IMMULITE 2000 AFP ASSAY RESULT WAS OBTAINED UPON F/U AND REPEAT PT TESTING WHEN COMPARED TO TWO OTHER AFP ASSAY TEST METHODS. THERE WAS NO KNOWN REPORT OF PT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE LOW DISCORDANT LOW IMMULITE AFP ASSAY RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 2000 AFP AFP IMMUNOASSAY GKZ SIEMENS HEALTHCARE DIAGNOSTICS INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 27 YR