FDA Adverse Event Malfunction Summary report: N

DIMENSION® XPAND PLUS WITH HM

MDR report key: 2912326 · Received January 11, 2013

Report

Report Number
1226181-2013-00016
Event Type
Malfunction
Date Received
January 11, 2013
Date of Event
December 13, 2012
Report Date
December 13, 2012
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC- BROOKFIELD
Product Code
JGS
PMA / PMN Number
K010061
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE SIEMENS TECHNICAL SUPPORT CENTER (TSC) ANALYZED THE INSTRUMENT DATA AND DETERMINED THE CAUSE OF THE DISCORDANT SODIUM RESULTS WERE DUE TO POOR SAMPLE QUALITY. THE TSC DETERMINED THAT THE CUSTOMER WAS USING A SWINGING BUCKET CENTRIFUGE AND SPINNING FOR 6 MINUTES VERSUS THE TUBE VENDOR RECOMMENDED 10 MINUTES. SIEMENS RECOMMENDED THE CUSTOMER FOLLOW THE TUBE MANUFACTURER'S RECOMMENDATIONS FOR PROPER CENTRIFUGATION TIMES AND SPEED. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. FURTHER EVALUATION OF THE DEVICE IS NOT REQUIRED.

Description of Event or Problem · 1

A CUSTOMER REPORTED THAT TWO (2) DISCORDANT HIGH SODIUM (NA) RESULTS WERE OBTAINED FROM THE DIMENSION XPAND PLUS WITH HM SYSTEM. THE SAMPLES WERE RETESTED ON THE SAME INSTRUMENT. THE INITIAL DISCORDANT RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. THERE WERE NO REPORTS OF ADVERSE HEALTH CONSEQUENCES OR KNOWN PATIENT INTERVENTION DUE TO THE DISCORDANT SODIUM RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
16352 DIMENSION® XPAND PLUS WITH HM CLINICAL CHEMISTRY SYSTEM JGS SIEMENS HEALTHCARE DIAGNOSTICS INC- BROOKFIELD DIMENSION® XPAND PLUS WITH HM

Patients

Seq Age Sex Outcome Treatment
1