FDA Adverse Event
Malfunction
Summary report: N
DIMENSION® CLINICAL CHEMISTRY SYSTEM
MDR report key: 2133916
·
Received June 20, 2011
Report
- Report Number
- 2517506-2011-00111
- Event Type
- Malfunction
- Date Received
- June 20, 2011
- Date of Event
- June 12, 2011
- Report Date
- June 13, 2011
- Manufacturer
- SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW
- Product Code
- NBC
- PMA / PMN Number
- K071767
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- MEDICAL TECHNOLOGIST
Narratives
Additional Manufacturer Narrative · 1
ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THAT THE CAUSE FOR THE FALSELY ELEVATED PBNP RESULT IS UNKNOWN. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.
Description of Event or Problem · 1
A FALSELY ELEVATED PBNP RESULT WAS OBTAINED ON A PATIENT SAMPLE. THE RESULT WAS REPORTED TO THE PHYSICIAN WHO QUESTIONED THE RESULT. THE SAME SAMPLE WAS RERUN AS WELL AS AN ADDITIONAL TUBE FROM THE ORIGINAL DRAW. NEGATIVE RESULTS WERE OBTAINED ON BOTH. THE PATIENT WAS ADMITTED AND RECEIVED LASIX TREATMENT. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES AS A RESULT OF THE FALSELY ELEVATED PBNP RESULT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | DIMENSION® CLINICAL CHEMISTRY SYSTEM | N-TERMINAL PRO-BRAIN NATRIURETIC PEPTIDE FLEX® REAGENT CARTRIDGE | NBC | SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW | FB2038 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |