FDA Adverse Event Injury Summary report: N

DIMENSION® CLINICAL CHEMISTRY SYSTEM

MDR report key: 1699985 · Received May 26, 2010

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

Additional Manufacturer Narrative · 1

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.

Additional Manufacturer Narrative · 1

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.

Description of Event or Problem · 1

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.

Description of Event or Problem · 1

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