FDA Adverse Event Malfunction Summary report: N

IMMULITE 2500 HCG ASSAY

MDR report key: 1851338 · Received September 23, 2010

Report

Report Number
2017183-2010-00040
Event Type
Malfunction
Date Received
September 23, 2010
Date of Event
June 4, 2010
Report Date
June 8, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
DHA
PMA / PMN Number
K990222
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ANALYSIS OF THE SYSTEM DATA AND INVESTIGATION HAS DETERMINED THAT THE FALSE NEGATIVE IMMULITE 2500 HCG TEST RESULT AND DISCORDANCY WHEN COMPARED TO ALTERNATE HCG TEST METHODS MAY BE ATTRIBUTED TO REAGENT SENSITIVITY BIAS AND IMPRECISION AT THE LOW END REAGENT ASSAY.

Description of Event or Problem · 1

A FALSE NEGATIVE IMMULITE 2500 HCG RESULT WAS OBTAINED ON A PT SAMPLE AND QUESTIONED BY THE PHYSICIAN. THE PT WAS REDRAWN TWO DAYS LATER AND THE REPEAT HCG RESULT WAS POSITIVE. THE DISCORDANT SAMPLE WAS TESTED AND COMPARED TO OTHER HCG TEST METHODS AND THE RESULTS WERE POSITIVE. THERE WAS NO KNOWN REPORT OF PT TREATMENT BEING ALTERED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE INITIAL FALSE NEGATIVE HCG ASSAY RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 2500 HCG ASSAY HCG IMMUNOASSAY DHA SIEMENS HEALTHCARE DIAGNOSTICS INC. NA 154

Patients

Seq Age Sex Outcome Treatment
1 UNK