DIMENSION® CLINICAL CHEMISTRY SYSTEM
Report
- Report Number
- 2517506-2010-00056
- Event Type
- Injury
- Date Received
- May 26, 2010
- Date of Event
- April 26, 2010
- Report Date
- April 26, 2010
- Manufacturer
- SIEMENS HEALTHCARE DIAGNOSTICS, INC
- Product Code
- MLM
- PMA / PMN Number
- K060502
- Removal / Correction Number
- Z-2407-2010
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BR
- Reporter Occupation
- PHARMACIST
Narratives
THE LOW RECOVERY OF TACROLIMUS IS DUE TO A NEGATIVE BIAS WITH THIS LOT OF REAGENT. THE DIMENSION TACR INSTRUCTIONS FOR USE STATES "CONFIRMATION OF UNEXPECTED OR ATYPICAL RESULTS BY AN ALTERNATIVE METHODOLOGY IS RECOMMENDED PRIOR TO ANY ADJUSTMENTS IN TACROLIMUS DOSAGE." THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.
THE LOW RECOVERY OF TACROLIMUS IS DUE TO A NEGATIVE BIAS WITH THIS LOT OF REAGENT. THE DIMENSION TACR INSTRUCTIONS FOR USE STATES "CONFIRMATION OF UNEXPECTED OR ATYPICAL RESULTS BY AN ALTERNATIVE METHODOLOGY IS RECOMMENDED PRIOR TO ANY ADJUSTMENTS IN TACROLIMUS DOSAGE." THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.
A LOW RECOVERY FOR TACROLIMUS OCCURRED WITH A PATIENT SAMPLE. THE RESULT WAS REPORTED TO THE PHYSICIAN. THE PHYSICIAN ADJUSTED THE DOSAGE OF TACROLIMUS BASED ON THIS RESULT. THERE WAS NO REPORT OF ANY ADVERSE HEALTH CONSEQUENCES AS A RESULT OF THE LOW RECOVERY OF TACROLIMUS.
A LOW RECOVERY FOR TACROLIMUS OCCURRED WITH A PATIENT SAMPLE. THE RESULT WAS REPORTED TO THE PHYSICIAN. THE PHYSICIAN ADJUSTED THE DOSAGE OF TACROLIMUS BASED ON THIS RESULT. THERE WAS NO REPORT OF ANY ADVERSE HEALTH CONSEQUENCES AS A RESULT OF THE LOW RECOVERY OF TACROLIMUS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | DIMENSION® CLINICAL CHEMISTRY SYSTEM | CARDIAC TROPONIN I FLEX® REAGENT CARTRIDGE | MLM | SIEMENS HEALTHCARE DIAGNOSTICS, INC | CA0320 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Congenital Anomaly| O |