FDA Adverse Event Other Summary report: N

CLINITEK ADVANTUS

MDR report key: 3261626 · Received July 23, 2013

Report

Report Number
1217157-2013-00139
Event Type
Other
Date Received
July 23, 2013
Date of Event
June 17, 2013
Report Date
July 12, 2013
Manufacturer
SIEMENS HEALTHCARE DIAGNOTICS INC.
Product Code
JIL
PMA / PMN Number
K063276
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE CAUSE FOR THE DISCORDANT WHITE BLOOD CELL (WBC) RESULTS IS UNKNOWN.

Description of Event or Problem · 1

CUSTOMER REPORTED NEGATIVE WHITE BLOOD CELL (WBC) URINE RESULTS ON THE INSTRUMENT WHEREAS MICROSCOPIC RESULTS WERE POSITIVE. THERE WAS NO REPORT OF INJURY FOR THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
343541 CLINITEK ADVANTUS CT ADVANTUS JIL SIEMENS HEALTHCARE DIAGNOTICS INC.

Patients

Seq Age Sex Outcome Treatment
1