FDA Adverse Event Malfunction Summary report: N

IMMULITE 2000 ERYTHROPOIETIN

MDR report key: 2740509 · Received September 12, 2012

Report

Report Number
2432235-2012-00310
Event Type
Malfunction
Date Received
September 12, 2012
Date of Event
August 6, 2012
Report Date
August 17, 2012
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
GGT
PMA / PMN Number
K983203
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER CALLED THE TECHNICAL SOLUTIONS CENTER (TSC) ABOUT THE DISCORDANT EPO RESULT. THE CUSTOMER STATED THAT THE LABORATORY HAS RUN DILUTIONS ON OTHER EPO SAMPLES AND OTHER ASSAYS THERE ARE NO PROBLEMS. BASED ON THIS, THE TSC SPECIALIST DETERMINED THAT THE INSTRUMENT DID NOT REQUIRE A FIELD SERVICE ENGINEER TO INSPECT. THE INSTRUCTIONS FOR USE (IFU) FOR THE EPO ASSAY ON THE IMMULITE 2000 INSTRUMENT DOES INDICATE THAT THE ASSAY HAS LIMITATIONS. THE IFU STATES: "HETEROPHILIC ANTIBODIES IN HUMAN SERUM CAN REACT WITH THE IMMUNOGLOBULINS INCLUDED IN THE ASSAY COMPONENTS CAUSING INTERFERENCE WITH IN VITRO IMMUNOASSAYS." THE CAUSE OF THE DISCORDANT EPO RESULT IS UNKNOWN.

Description of Event or Problem · 1

A DISCORDANT, FALSELY ELEVATED ERYTHROPOIETIN (EPO) RESULT WAS OBTAINED ON A PATIENT SAMPLE ON THE IMMULITE 2000 INSTRUMENT WITH LOT # 230. THE INITIAL RESULT WAS NOT REPORTED TO THE PHYSICIAN. THE LABORATORY REPORTED THAT THEY COULD NOT INTERPRET THE RESULT. THERE WERE NO REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT, FALSELY ELEVATED EPO RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 2000 ERYTHROPOIETIN ERYTHROPOIETIN ASSAY GGT SIEMENS HEALTHCARE DIAGNOSTICS IMMULITE 2000 230

Patients

Seq Age Sex Outcome Treatment
1