FDA Adverse Event
Malfunction
Summary report: N
RAPIDPOINT 405
MDR report key: 3825141
·
Received May 21, 2014
Report
- Report Number
- 1217157-2014-00075
- Event Type
- Malfunction
- Date Received
- May 21, 2014
- Date of Event
- April 24, 2014
- Report Date
- April 25, 2014
- Manufacturer
- SIEMENS HEALTHCARE DIAGNOSTICS
- Product Code
- GKR
- PMA / PMN Number
- K020616
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
CUSTOMER SHOULD NOT HAVE RUN PATIENT SAMPLE WHEN AUTOMATIC QUALITY CONTROL(AQC) WAS OUT OF RANGE. CUSTOMER HAS BEEN SUGGESTED TO CHANGE THE SECURITY LEVELS OF THE OPERATORS TO LEVEL 3, SO THEY WILL NOT BE ABLE TO RESTORE THE QUALITY CONTROL(QC). THE EVENT HAS OCCURRED DUE TO AN OPERATOR ERROR.
Description of Event or Problem · 1
CUSTOMER REPORTED THAT AUTOMATIC QUALITY CONTROL(AQC) WAS OUT OF RANGE IN BETWEEN (B)(6) 2014 AT 14:56 TO 04/24/2014 AT 04:24. CUSTOMER ALSO REPORTED THAT 10 PATIENT SAMPLES WERE RUN DURING THIS TIMEFRAME. CUSTOMER STATED THAT THEY ALSO RESTORED THE AQC IN THE PAST. THERE WAS NO REPORT OF INJURY DUE TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 303206 | RAPIDPOINT 405 | RP 405 | GKR | SIEMENS HEALTHCARE DIAGNOSTICS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |