FDA Adverse Event Malfunction Summary report: N

IMMULITE 2000 IGF-1

MDR report key: 2842886 · Received November 21, 2012

Report

Report Number
2432235-2012-00385
Event Type
Malfunction
Date Received
November 21, 2012
Date of Event
August 22, 2012
Report Date
October 22, 2012
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
CFL
PMA / PMN Number
EXEMPT
Removal / Correction Number
2432235-11/28/2012-007-C
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
HEALTH PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 1

THE CAUSE OF THE CHANGES IN IGF-1 MEDIANS OVER TIME IS UNKNOWN. AN URGENT FIELD SAFETY NOTICE (UFSN), UFSN 4005 - "IMMULITE / IMMULITE 1000 / IMMULITE 2000 / IMMULITE 2000 XPI ALL IMMULITE PLATFORMS FOR IGF-I SHIFT IN PATIENT MEDIANS AND SUPPLY DISRUPTION" WAS SENT TO CUSTOMERS IN NOVEMBER 2012. SIEMENS IS INVESTIGATING THIS ISSUE.

Additional Manufacturer Narrative · 1

THE INITIAL MDR 2432235-2012-00385 WAS FILED ON (B)(4) 2012. (B)(4) 2012: ADDITIONAL INFORMATION: THE CORRECTIONS AND REMOVAL REPORT (CRR) WAS FILED WITH THE FDA ON (B)(4) 2012. THE CRR NUMBER IS 2432235-11/28/2012-007-C.

Description of Event or Problem · 1

THE LABORATORY OBSERVED CHANGES IN THE INSULIN-LIKE GROWTH FACTOR (IGF-1) MEDIANS OVER TIME ON AN IMMULITE 2000 INSTRUMENT. THERE WERE NO REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT IGF-1 RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMMULITE 2000 IGF-1 IMMULITE 2000 CFL SIEMENS HEALTHCARE DIAGNOSTICS IMMULITE 2000 IGF-1

Patients

Seq Age Sex Outcome Treatment
1 Unknown