FDA Adverse Event Malfunction Summary report: N

ADVIA 1800

MDR report key: 2802681 · Received October 24, 2012

Report

Report Number
2432235-2012-00357
Event Type
Malfunction
Date Received
October 24, 2012
Date of Event
September 27, 2012
Report Date
September 28, 2012
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
LCD
PMA / PMN Number
K990346
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE. THE FSE ANALYZED THE INSTRUMENT AND THE DATA BASE AND RAN 10 SAMPLES FOR PRECISION WITH VERY GOOD RESULTS. CALIBRATION AND QUALITY CONTROL (QC) WERE IN RANGE. THE CAUSE OF THE DISCORDANT GENTAMICIN RESULTS IS UNKNOWN. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. FURTHER EVALUATION OF THE DEVICE IS NOT REQUIRED.

Description of Event or Problem · 1

TWO DISCORDANT RESULTS FOR GENTAMICIN WERE OBTAINED ON AN ADVIA 1800 INSTRUMENT. THE RESULTS WERE REPORTED OUT AND QUESTIONED BY THE PHYSICIANS. THE SAME SAMPLES WERE REPEATED ON THE SAME INSTRUMENT. LOWER RESULTS WERE OBTAINED AND CORRECTED RESULTS WERE REPORTED TO THE PHYSICIANS. THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT GENTAMICIN RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA 1800 CLINICAL CHEMISTRY ANALYZER LCD SIEMENS HEALTHCARE DIAGNOSTICS INC. ADVIA 1800

Patients

Seq Age Sex Outcome Treatment
1