FDA Adverse Event Summary report: N

ADVIA 2400

MDR report key: 2061168 · Received April 18, 2011

Report

Report Number
2432235-2011-00061
Date Received
April 18, 2011
Date of Event
March 17, 2011
Report Date
March 17, 2011
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K990346
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS TECHNICAL SPECIALIST SPOKE WITH THE CUSTOMER VIA TELEPHONE AT THE TIME THE INCIDENT WAS REPORTED. BASED ON THE REPORTS AND INSTRUMENT DATA PROVIDED BY THE CUSTOMER IT APPEARS THAT THIS WAS AN ISOLATED EVENT AND IT IS UNKNOWN WHAT CAUSED THE DISCORDANT RESULT. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A DISCORDANT ADVIA 2400 TOTAL BILIRUBIN (TBIL) WAS OBTAINED ON A PATIENT SAMPLE. THE RESULT WAS REPORTED AND QUESTIONED BY THE PHYSICIAN. THE PATIENT WAS REDRAWN. THE SECOND SAMPLE WAS PROCESSED AND A CORRECTED RESULT WAS ISSUED. THERE ARE NO REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT TBIL RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA 2400 CHEMISTRY ANALAYZER, PRODUCT CODE: JJE SIEMENS HEALTHCARE DIAGNOSTICS ADVIA 2400 N/A

Patients

Seq Age Sex Outcome Treatment
1