FDA Adverse Event Malfunction Summary report: N

ADVIA CHEMISTRY 2400

MDR report key: 2212214 · Received August 15, 2011

Report

Report Number
2432235-2011-00114
Event Type
Malfunction
Date Received
August 15, 2011
Date of Event
August 1, 2011
Report Date
August 3, 2011
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS, INC.
Product Code
JJE
PMA / PMN Number
K990346
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NZ
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FSE (FIELD SERVICE ENGINEER) WAS DISPATCHED TO THE CUSTOMER SITE TO EVALUATE THE INSTRUMENT AND INSTRUMENT DATA. AFTER ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA, THE FSE DETERMINED THAT THE CAUSE OF THE DISCORDANT CALCIUM RESULT WAS UNKNOWN. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

DISCORDANT HIGH CALCIUM RESULT ON AN ADVIA 2400 CHEMISTRY SYSTEM WAS GENERATED ON ONE PATIENT SAMPLE. THE RESULT WAS REPORTED, HOWEVER THE LABORATORY REPEATED THE SAMPLE SINCE IT DID NOT MATCH PATIENT'S CLINICAL HISTORY. A CORRECTED REPORT WAS LATER SENT TO THE PHYSICIAN. CALCIUM SUPPLEMENTATION WAS DELAYED BASED ON THE INITIAL INCORRECT RESULT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CHEMISTRY 2400 CHEMISTRY ANALYZER JJE SIEMENS HEALTHCARE DIAGNOSTICS, INC. ADVIA CHEMISTRY 2400 N/A

Patients

Seq Age Sex Outcome Treatment
1