FDA Adverse Event Malfunction Summary report: N

ADVIA 1800

MDR report key: 3241399 · Received July 22, 2013

Report

Report Number
2432235-2013-00323
Event Type
Malfunction
Date Received
July 22, 2013
Date of Event
June 27, 2013
Report Date
June 27, 2013
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
JJE
PMA / PMN Number
K990346
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE. THE FSE FOUND RESTRICTIONS IN THE SALINE SUPPLY TUBE, CUVETTE WASH AND CUVETTE CONDITIONER LINES AS WELL AS A LOW VOLTAGE LAMP. THE FSE REPLACED THE LAMP AND REMOVED RESTRICTIONS FROM TUBINGS. LAMP ENERGY, CELLBLANK , CALIBRATION AND QUALITY CONTROLS WERE RUN AND ALL WAS WITHIN SPECIFICATION. THE CAUSE OF CALCIUM IMPRECISION WAS RESTRICTIONS IN THE TUBING AND A LOW VOLTAGE LAMP. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

ONE PATIENT SAMPLE WAS RUN ON AN ADVIA 1800 INSTRUMENT THREE TIMES, AND THE RESULTS WERE INCONSISTENT. THE SAMPLE RESULTED LOWER EACH TIME IT WAS REPEATED. NO RESULTS WERE REPORTED TO THE PHYSICIAN(S). THERE ARE NO REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE INCONSISTENT CALCIUM RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
341511 ADVIA 1800 CLINICAL CHEMISTRY ANALYZER JJE SIEMENS HEALTHCARE DIAGNOSTICS INC. ADVIA 1800

Patients

Seq Age Sex Outcome Treatment
1