FDA Adverse Event Other Summary report: N

IMMULITE 2500

MDR report key: 1707047 · Received May 27, 2010

Report

Report Number
2247117-2010-00016
Event Type
Other
Date Received
May 27, 2010
Date of Event
November 1, 2009
Report Date
May 4, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
JJQ
PMA / PMN Number
K905215
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BASED ON THE INFORMATION PROVIDED, THE DISCORDANT LOW B2M RESULTS WERE CAUSED BY USER/OPERATOR ERROR ASSOCIATED WITH THE CUSTOMER'S LIS. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

DISCORDANT LOW B2M RESULTS WERE REPORTED OVER THE LAST SIX MONTHS. INITIAL B2M RESULTS FOR SAMPLES DILUTED 1:40 WERE >20,000 NG/ML ON THE IMMULITE 2500 INSTRUMENT REPORT AND SOFTWARE DISPLAY. THE IMMULITE 2500 SOFTWARE SENDS RESULTS TO THE CUSTOMER LIS AS GREATER THAN THE ASSAY LIMIT (> 500 NG/ML). THE CUSTOMER'S LIS APPLIED A UNIT CORRECTION FACTOR OF 1000 TO THE RESULTS, REMOVING THE ">" SYMBOL IN THE PROCESS, AND REPORTED OUT ERRONEOUSLY LOW RESULTS OF 0.5 UG/ML. IT IS NOT KNOWN IF PATIENT TREATMENT WAS ALTERED OR PRESCRIBED. THERE WERE NO REPORTS OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT B2M RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 2500 IMMUNO-ASSAY JJQ SIEMENS HEALTHCARE DIAGNOSTICS INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1