FDA Adverse Event Other Summary report: N

RAPIDLAB 1265

MDR report key: 1780851 · Received July 26, 2010

Report

Report Number
1217157-2010-00022
Event Type
Other
Date Received
July 26, 2010
Date of Event
June 23, 2010
Report Date
June 24, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS MANUFACTURING LTD.
Product Code
GKR
PMA / PMN Number
K020616
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

FIELD SERVICE REPRESENTATIVE INSPECTED INSTRUMENT AND COULD NOT IDENTIFY A PROBLEM. SYSTEM IS PERFORMING WITHIN SPECIFICATION.

Description of Event or Problem · 1

PATIENT HAVING CONSISTENT PRIOR HEMOGLOBIN RESULTS BETWEEN 88 - 92 G/L HAD SAMPLE TESTED ON RAPIDLAB 1265 INSTRUMENT THAT PRODUCED RESULT OF 66 G/L. SAMPLE REPEATED ON SAME INSTRUMENT 4 HOURS LATER YIELDED A RESULT OF 88 G/L. NO ADVERSE IMPACT TO THE PATIENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RAPIDLAB 1265 RAPIDLAB 1265 GKR SIEMENS HEALTHCARE DIAGNOSTICS MANUFACTURING LTD. 1265

Patients

Seq Age Sex Outcome Treatment
1