FDA Adverse Event Other Summary report: N

RAPIDPOINT 405

MDR report key: 2418292 · Received January 6, 2012

Report

Report Number
1217157-2011-00052
Event Type
Other
Date Received
January 6, 2012
Date of Event
December 8, 2011
Report Date
December 8, 2011
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS, MANUFACTURING LTD.
Product Code
GKR
PMA / PMN Number
K020616
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

TRACE LOGS INDICATE THERE WERE SEVERAL BENZ CALS BEFORE/DURING/AFTER THE SUSPECT SAMPLES WERE RUN ON S.N. (B)(4) ON (B)(6) AT 13:30 AND 13:54. AFTER NOTING SECOND DISCREPANT RESULT, CUSTOMER RAN AQC. LEVEL ONE PASSED. LEVELS 2 AND 3 FAILED OUTSIDE OF THEIR SET RANGES. CUSTOMER CONTACTED MANUFACTURER. MEASUREMENT CARTRIDGE AND CARTRIDGE INTERFACE FRAME REPLACED BY FIELD SERVICE ENGINEER. INSTRUMENT RUNNING AS EXPECTED.

Description of Event or Problem · 1

CUSTOMER REPORTS PCO2 RESULTS ARE NOT MATCHING BETWEEN TWO INSTRUMENTS. CUSTOMER REPORTED INSTRUMENT IN QUESTION WAS RUNNING QUITE SLOWLY (TIME TO RESULT) AFTER INSERTING SAMPLE. NO PATIENT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RAPIDPOINT 405 RAPIDPOINT 405 GKR SIEMENS HEALTHCARE DIAGNOSTICS, MANUFACTURING LTD. 405

Patients

Seq Age Sex Outcome Treatment
1