FDA Adverse Event Malfunction Summary report: N

ADVIA 1800

MDR report key: 4103052 · Received September 19, 2014

Report

Report Number
2432235-2014-00556
Event Type
Malfunction
Date Received
September 19, 2014
Date of Event
August 25, 2014
Report Date
August 26, 2014
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
JJE
PMA / PMN Number
K990346
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER CONTACTED THE CCC. THE CUSTOMER STATED THAT THEY HAD REPLACED THE SODIUM ELECTRODE, WHICH RESOLVED THE ISSUE. THE CAUSE OF THE DISCORDANT SODIUM RESULTS WAS AN ELECTRODE MALFUNCTION. THE INSTRUMENT IS PERFORMING ACCORDING TO SPECIFICATIONS. NO FURTHER EVALUATION OF THIS DEVICE IS REQUIRED.

Description of Event or Problem · 1

THE CUSTOMER CONTACTED THE SIEMENS CUSTOMER CARE CENTER (CCC) AND STATED THAT SODIUM RESULTS FOR PATIENT SAMPLES TESTED ON AN ADVIA 1800 INSTRUMENT WERE LOWER THAN EXPECTED. THE CUSTOMER STATED THAT APPROXIMATELY FOUR-HUNDRED PATIENT SAMPLES HAD BEEN TESTED. THE CUSTOMER INFORMED PHYSICIAN(S) THE SODIUM METHOD WAS RUNNING LOW, BUT DID NOT ISSUE CORRECTED REPORTS. THERE ARE NO REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT SODIUM RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
582587 ADVIA 1800 CLINICAL CHEMISTRY ANALYZER JJE SIEMENS HEALTHCARE DIAGNOSTICS INC. ADVIA 1800

Patients

Seq Age Sex Outcome Treatment
1