FDA Adverse Event Other Summary report: N

IMMULITE 2000 INTACT PTH

MDR report key: 1671805 · Received March 30, 2010

Report

Report Number
2017183-2010-00015
Event Type
Other
Date Received
March 30, 2010
Date of Event
March 17, 2010
Report Date
March 19, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
CEW
PMA / PMN Number
K013566
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ANALYSIS OF THE SYSTEM DATA INDICATES THAT THERE ARE NO KNOWN IMMULITE 2000 SYSTEM ISSUES WHICH COULD HAVE CONTRIBUTED TO THE DISCORDANT LOW IMMULITE 2000 IPTH TEST RESULTS. THE DISCORDANT RESULTS CAN BE ATTRIBUTED TO A SUSPECT LOT (10067) OF AQUISEL SAMPLE COLLECTION TUBES USED BY THE CUSTOMER. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. ADDITIONAL LOT # 252, EXPIRATION DATE: 07/31/2010; LOT # 254, EXPIRATION DATE: 09/30/2010.

Description of Event or Problem · 1

DISCORDANT LOW IMMULITE 2000 IPTH ASSAY RESULTS WERE OBTAINED BY THE CUSTOMER AND QUESTIONED WHEN COMPARED TO THE RESULTS OF THESE PATIENTS RUN PREVIOUSLY. THE CUSTOMER IS CERTAIN THAT THE CAUSE OF THE DISCORDANT LOW IPTH RESULTS CAN BE ATTRIBUTED TO A SUSPECTED LOT OF THEIR AQUISEL SAMPLE COLLECTION TUBES. THERE WAS NO KNOWN REPORT OF PATIENT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE LOW DISCORDANT IPTH ASSAY RESULTS.

Additional Manufacturer Narrative · 2

ANALYSIS OF THE SYSTEM DATA INDICATES THAT THERE ARE NO KNOWN IMMULITE 2000 SYSTEM ISSUES WHICH COULD HAVE CONTRIBUTED TO THE DISCORDANT LOW IMMULITE 2000 IPTH TEST RESULTS. THE DISCORDANT RESULTS CAN BE ATTRIBUTED TO A SUSPECT LOT (10067) OF AQUISEL SAMPLE COLLECTION TUBES USED BY THE CUSTOMER. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. ADDITIONAL LOT # 252, EXPIRATION DATE: 07/31/2010; LOT # 254, EXPIRATION DATE: 09/30/2010.

Description of Event or Problem · 2

DISCORDANT LOW IMMULITE 2000 IPTH ASSAY RESULTS WERE OBTAINED BY THE CUSTOMER AND QUESTIONED WHEN COMPARED TO THE RESULTS OF THESE PATIENTS RUN PREVIOUSLY. THE CUSTOMER IS CERTAIN THAT THE CAUSE OF THE DISCORDANT LOW IPTH RESULTS CAN BE ATTRIBUTED TO A SUSPECTED LOT OF THEIR AQUISEL SAMPLE COLLECTION TUBES. THERE WAS NO KNOWN REPORT OF PATIENT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE LOW DISCORDANT IPTH ASSAY RESULTS.

Additional Manufacturer Narrative · 3

ANALYSIS OF THE SYSTEM DATA INDICATES THAT THERE ARE NO KNOWN IMMULITE 2000 SYSTEM ISSUES WHICH COULD HAVE CONTRIBUTED TO THE DISCORDANT LOW IMMULITE 2000 IPTH TEST RESULTS. THE DISCORDANT RESULTS CAN BE ATTRIBUTED TO A SUSPECT LOT (10067) OF AQUISEL SAMPLE COLLECTION TUBES USED BY THE CUSTOMER. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. ADDITIONAL LOT # 252, EXPIRATION DATE: 07/31/2010; LOT # 254, EXPIRATION DATE: 09/30/2010.

Description of Event or Problem · 3

DISCORDANT LOW IMMULITE 2000 IPTH ASSAY RESULTS WERE OBTAINED BY THE CUSTOMER AND QUESTIONED WHEN COMPARED TO THE RESULTS OF THESE PATIENTS RUN PREVIOUSLY. THE CUSTOMER IS CERTAIN THAT THE CAUSE OF THE DISCORDANT LOW IPTH RESULTS CAN BE ATTRIBUTED TO A SUSPECTED LOT OF THEIR AQUISEL SAMPLE COLLECTION TUBES. THERE WAS NO KNOWN REPORT OF PATIENT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE LOW DISCORDANT IPTH ASSAY RESULTS.

Additional Manufacturer Narrative · 4

ANALYSIS OF THE SYSTEM DATA INDICATES THAT THERE ARE NO KNOWN IMMULITE 2000 SYSTEM ISSUES WHICH COULD HAVE CONTRIBUTED TO THE DISCORDANT LOW IMMULITE 2000 IPTH TEST RESULTS. THE DISCORDANT RESULTS CAN BE ATTRIBUTED TO A SUSPECT LOT (10067) OF AQUISEL SAMPLE COLLECTION TUBES USED BY THE CUSTOMER. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. ADDITIONAL LOT # 252, EXPIRATION DATE: 07/31/2010; LOT # 254, EXPIRATION DATE: 09/30/2010.

Description of Event or Problem · 4

DISCORDANT LOW IMMULITE 2000 IPTH ASSAY RESULTS WERE OBTAINED BY THE CUSTOMER AND QUESTIONED WHEN COMPARED TO THE RESULTS OF THESE PATIENTS RUN PREVIOUSLY. THE CUSTOMER IS CERTAIN THAT THE CAUSE OF THE DISCORDANT LOW IPTH RESULTS CAN BE ATTRIBUTED TO A SUSPECTED LOT OF THEIR AQUISEL SAMPLE COLLECTION TUBES. THERE WAS NO KNOWN REPORT OF PATIENT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE LOW DISCORDANT IPTH ASSAY RESULTS.

Additional Manufacturer Narrative · 5

ANALYSIS OF THE SYSTEM DATA INDICATES THAT THERE ARE NO KNOWN IMMULITE 2000 SYSTEM ISSUES WHICH COULD HAVE CONTRIBUTED TO THE DISCORDANT LOW IMMULITE 2000 IPTH TEST RESULTS. THE DISCORDANT RESULTS CAN BE ATTRIBUTED TO A SUSPECT LOT (10067) OF AQUISEL SAMPLE COLLECTION TUBES USED BY THE CUSTOMER. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. ADDITIONAL LOT # 252, EXPIRATION DATE: 07/31/2010; LOT # 254, EXPIRATION DATE: 09/30/2010.

Description of Event or Problem · 5

DISCORDANT LOW IMMULITE 2000 IPTH ASSAY RESULTS WERE OBTAINED BY THE CUSTOMER AND QUESTIONED WHEN COMPARED TO THE RESULTS OF THESE PATIENTS RUN PREVIOUSLY. THE CUSTOMER IS CERTAIN THAT THE CAUSE OF THE DISCORDANT LOW IPTH RESULTS CAN BE ATTRIBUTED TO A SUSPECTED LOT OF THEIR AQUISEL SAMPLE COLLECTION TUBES. THERE WAS NO KNOWN REPORT OF PATIENT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE LOW DISCORDANT IPTH ASSAY RESULTS.

Additional Manufacturer Narrative · 6

ANALYSIS OF THE SYSTEM DATA INDICATES THAT THERE ARE NO KNOWN IMMULITE 2000 SYSTEM ISSUES WHICH COULD HAVE CONTRIBUTED TO THE DISCORDANT LOW IMMULITE 2000 IPTH TEST RESULTS. THE DISCORDANT RESULTS CAN BE ATTRIBUTED TO A SUSPECT LOT (10067) OF AQUISEL SAMPLE COLLECTION TUBES USED BY THE CUSTOMER. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. ADDITIONAL LOT # 252, EXPIRATION DATE: 07/31/2010; LOT # 254, EXPIRATION DATE: 09/30/2010.

Description of Event or Problem · 6

DISCORDANT LOW IMMULITE 2000 IPTH ASSAY RESULTS WERE OBTAINED BY THE CUSTOMER AND QUESTIONED WHEN COMPARED TO THE RESULTS OF THESE PATIENTS RUN PREVIOUSLY. THE CUSTOMER IS CERTAIN THAT THE CAUSE OF THE DISCORDANT LOW IPTH RESULTS CAN BE ATTRIBUTED TO A SUSPECTED LOT OF THEIR AQUISEL SAMPLE COLLECTION TUBES. THERE WAS NO KNOWN REPORT OF PATIENT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE LOW DISCORDANT IPTH ASSAY RESULTS.

Additional Manufacturer Narrative · 7

ANALYSIS OF THE SYSTEM DATA INDICATES THAT THERE ARE NO KNOWN IMMULITE 2000 SYSTEM ISSUES WHICH COULD HAVE CONTRIBUTED TO THE DISCORDANT LOW IMMULITE 2000 IPTH TEST RESULTS. THE DISCORDANT RESULTS CAN BE ATTRIBUTED TO A SUSPECT LOT (10067) OF AQUISEL SAMPLE COLLECTION TUBES USED BY THE CUSTOMER. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. ADDITIONAL LOT # 252, EXPIRATION DATE: 07/31/2010; LOT # 254, EXPIRATION DATE: 09/30/2010.

Description of Event or Problem · 7

DISCORDANT LOW IMMULITE 2000 IPTH ASSAY RESULTS WERE OBTAINED BY THE CUSTOMER AND QUESTIONED WHEN COMPARED TO THE RESULTS OF THESE PATIENTS RUN PREVIOUSLY. THE CUSTOMER IS CERTAIN THAT THE CAUSE OF THE DISCORDANT LOW IPTH RESULTS CAN BE ATTRIBUTED TO A SUSPECTED LOT OF THEIR AQUISEL SAMPLE COLLECTION TUBES. THERE WAS NO KNOWN REPORT OF PATIENT 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 2000 INTACT PTH INTACT PTH IMMUNOASSAY CEW SIEMENS HEALTHCARE DIAGNOSTICS INC. NA 251

Patients

Seq Age Sex Outcome Treatment
1
2
3
4
5
6
7