FDA Adverse Event Other Summary report: N

IMMULITE 2500 INTACT PTH

MDR report key: 1669095 · Received April 23, 2010

Report

Report Number
2017183-2010-00020
Event Type
Other
Date Received
April 23, 2010
Date of Event
March 12, 2010
Report Date
April 1, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
CEW
PMA / PMN Number
K013566
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS SENT TO THE CUSTOMER SITE FOR SYSTEM EVAL. ANALYSIS OF THE SYSTEM DATA INDICATE THAT THERE ARE NO KNOWN SYSTEM ISSUES WHICH COULD HAVE CONTRIBUTED TO THE DISCORDANT LOW IMMULITE 2500 IPTH TEST RESULTS. THE CUSTOMER'S PROCEDURE IS TO INITIALLY FREEZE PT SAMPLES, THAW AND PERFORM TESTING. THE FSE NOTED A CLOT DETECTION ERROR FOR ONE OF THE DISCORDANT PT SAMPLES. IT IS SUSPECTED THAT SAMPLE HANDLING AND FIBRIN MAY BE A CONTRIBUTING FACTOR. THE INSTRUMENT IS PERFORMING WITHIN SPECS.

Description of Event or Problem · 1

DISCORDANT LOW IMMULITE 2500 IPTH ASSAY RESULTS WERE OBTAINED BY THE CUSTOMER ON TWO PT SAMPLES. THE CUSTOMER PERFORMED REPEAT TESTING AND THE RESULTS WERE ELEVATED FOR BOTH PTS. THE DISCORDANT LOW RESULTS WERE NOT REPORTED TO THE PHYSICIAN. THERE WAS NO KNOWN REPORT OF PT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE LOW DISCORDANT IPTH ASSAY RESULTS.

Additional Manufacturer Narrative · 2

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS SENT TO THE CUSTOMER SITE FOR SYSTEM EVAL. ANALYSIS OF THE SYSTEM DATA INDICATE THAT THERE ARE NO KNOWN SYSTEM ISSUES WHICH COULD HAVE CONTRIBUTED TO THE DISCORDANT LOW IMMULITE 2500 IPTH TEST RESULTS. THE CUSTOMER'S PROCEDURE IS TO INITIALLY FREEZE PT SAMPLES, THAW AND PERFORM TESTING. THE FSE NOTED A CLOT DETECTION ERROR FOR ONE OF THE DISCORDANT PT SAMPLES. IT IS SUSPECT THAT SAMPLE HANDLING AND FIBRIN MAY BE A CONTRIBUTING FACTOR. THE INSTRUMENT IS PERFORMING WITHIN SPECS.

Description of Event or Problem · 2

DISCORDANT LOW IMMULITE 2500 IPTH ASSAY RESULTS WERE OBTAINED BY THE CUSTOMER ON TWO PT SAMPLES. THE CUSTOMER PERFORMED REPEAT TESTING AND THE RESULTS WERE ELEVATED FOR BOTH PTS. THE DISCORDANT LOW RESULTS WERE NOT REPORTED TO THE PHYSICIAN. THERE WAS NO KNOWN REPORT OF PT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE LOW DISCORDANT IPTH ASSAY RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 2500 INTACT PTH INTACT PTH IMMUNOASSAY CEW SIEMENS HEALTHCARE DIAGNOSTICS INC. NA 252

Patients

Seq Age Sex Outcome Treatment
1 41 YR
2 79 YR