FDA Adverse Event Malfunction Summary report: N

STRATUS CS

MDR report key: 5210921 · Received November 9, 2015

Report

Report Number
1217157-2015-00160
Event Type
Malfunction
Date Received
November 9, 2015
Date of Event
October 8, 2015
Report Date
November 9, 2015
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW
Product Code
DAP
PMA / PMN Number
K051650
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MT, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

EVEN THOUGH SIEMENS MADE AWARE OF THIS COMPLAINT ON 10/08/2015; BASED ON THE INVESTIGATION AND ADDITIONAL INFORMATION RECEIVED, SIEMENS MEDICAL AFFAIRS IDENTIFIED THIS ISSUE AS LOW HEALTH RISK (LHR) ON 10/28/2015. AS PER PROCEDURE, SIEMENS DID RETROSPECTIVE REVIEW OF ALL ASSOCIATED COMPLAINTS WITH THIS ISSUE AND IDENTIFIED THOSE WITH POTENTIAL SAFETY ISSUES FOR WHICH MEDICAL DEVICE REPORTS NEED TO BE FILED. SIEMENS IS REVISING THE AFFECTED ACUTE CARE TESTPAK, CALPAK, AND DILPAK LABELING TO RESOLVE THIS ISSUE. SIEMENS IS PLANNING TO ISSUE AN URGENT FIELD SAFETY NOTICE TO NOTIFY AFFECTED SIEMENS CUSTOMERS ABOUT THIS ISSUE.

Description of Event or Problem · 1

CUSTOMER REPORTED THAT INSTRUMENT WAS NOT READING TROPONIN TEST PAKS INTERMITTENTLY. CUSTOMER TRIED TO CALIBRATE ELEVEN DIFFERENT TROPONIN TEST PAKS FROM LOT 235215002 AND THEY DID NOT READ THREE IN A ROW IN ORDER TO CALIBRATE. THERE WAS NO REPORT OF INJURY DUE TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
741299 STRATUS CS STRATUS CS DAP SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW

Patients

Seq Age Sex Outcome Treatment
1