FDA Adverse Event Other Summary report: N

IMMULITE 2000 XPI CALCITONIN

MDR report key: 1728315 · Received June 15, 2010

Report

Report Number
2017183-2010-00027
Event Type
Other
Date Received
June 15, 2010
Date of Event
May 12, 2010
Report Date
May 25, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
JKR
PMA / PMN Number
K023304
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS SENT TO THE CUSTOMER SITE AND PERFORMED A SYSTEM EVAL. THE FSE WAS NOT ABLE TO DETERMINE THE CAUSE FOR THE DISCORDANT LOW CALCITONIN RESULT. THE INSTRUMENT IS PERFORMING WITHIN SPECS.

Description of Event or Problem · 1

A DISCORDANT LOW IMMULITE 2000 XPI CALCITONIN RESULT WAS OBTAINED ON A PT SAMPLE. THE CUSTOMER PERFORMED REPEAT CALCITONIN TESTING AND THE RESULT WAS ELEVATED. THE DISCORDANT RESULT WAS NOT REPORTED TO THE PHYSICIAN. THERE WAS NO REPORT OF PT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT LOW CALCITONIN ASSAY RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 2000 XPI CALCITONIN CALCITONIN IMMUNOASSAY JKR SIEMENS HEALTHCARE DIAGNOSTICS INC. NA 214

Patients

Seq Age Sex Outcome Treatment
1 UNK