FDA Adverse Event Malfunction Summary report: N

RAPIDPOINT 500

MDR report key: 3872597 · Received June 13, 2014

Report

Report Number
1217157-2014-00082
Event Type
Malfunction
Date Received
June 13, 2014
Date of Event
April 30, 2014
Report Date
April 30, 2014
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
CHL
PMA / PMN Number
K113216
Removal / Correction Number
1217157-05-20-2014-003-C
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

SIEMENS HEALTHCARE DIAGNOSTICS HAS CONFIRMED THAT SOME RAPIDPOINT 500 MEASUREMENT CARTRIDGES ARE EXPERIENCING (____?) ERRORS WHEN RUNNING AQC LEVEL 1 OR CVM LEVEL 1 OR 2. CUSTOMERS HAVE BEEN NOTIFIED ABOUT THIS SITUATION. URGENT FIELD SAFETY NOTICE 31512 REV A WAS ISSUED FOR DISTRIBUTION ON 27 MAY 2014. NEW FORMULATION OF SENSOR HAS BEEN RELEASED TO THE FIELD AND CARTRIDGES FROM SERIAL NUMBER (B)(4) SHOULD NOT EXPERIENCE THIS ISSUE.

Description of Event or Problem · 1

CUSTOMER REPORTED THAT THE PR 500 INSTRUMENTS DISPLAYED (---?) QUESTION VALUE RESULT FOR SODIUM(NA), POTASSIUM(K), AND IONIZED CALCIUM(ICA) ON A PATIENT SAMPLE THAT HAD A HIGH LACTATE RESULT OF 29. CUSTOMER ALSO REPORTED THAT SAMPLE WAS RUN ON 2 OTHER RP500'S WITH THE SAME RESULTS. THERE WAS NO REPORT OF INJURY DUE TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
349629 RAPIDPOINT 500 RP 500 CHL SIEMENS HEALTHCARE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1