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