FDA Adverse Event Malfunction Summary report: N

ADVIA 2400

MDR report key: 3082784 · Received April 29, 2013

Report

Report Number
2432235-2013-00158
Event Type
Malfunction
Date Received
April 29, 2013
Date of Event
April 4, 2013
Report Date
April 4, 2013
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K990346
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE. AFTER EVALUATION OF THE INSTRUMENT AND INSTRUMENT DATA, THE FSE DISCOVERED THAT THE ARM OF PROBE 2 WAS BENT. THE FSE REALIGNED THE PROBE ARM AND THE PROBE HEIGHT. THE FSE THEN RAN PRECISION WITH CALCIUM SAMPLES, AND THE PRECISION RESULTS WERE ALL WITHIN SPECIFICATIONS. THE CAUSE OF THE DISCORDANT CALCIUM RESULTS WAS A MALFUNCTION OF THE PROBE. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

DISCORDANT CALCIUM RESULTS WERE OBTAINED ON FOUR PATIENT SAMPLES ON AN ADVIA 2400 INSTRUMENT. THE DISCORDANT RESULTS WERE NOT REPORTED TO THE PHYSICIAN(S). THE SAMPLES WERE RERUN ON THE SAME INSTRUMENT AND RESULTED AS EXPECTED, AND THE RERUN RESULTS WERE REPORTED TO THE PHYSICIAN(S). THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT CALCIUM RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
185555 ADVIA 2400 CLINICAL CHEMISTRY ANALYZER JJE SIEMENS HEALTHCARE DIAGNOSTICS ADVIA 2400

Patients

Seq Age Sex Outcome Treatment
1