FDA Adverse Event Malfunction Summary report: N

RAPIDPOINT 500 BLOOD GAS ANALYZER

MDR report key: 6360785 · Received February 27, 2017

Report

Report Number
3002637618-2017-00028
Event Type
Malfunction
Date Received
February 27, 2017
Date of Event
January 27, 2017
Report Date
February 27, 2017
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
CHL
PMA / PMN Number
K113216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SIEMENS ANALYZED THE DATA FILES. THE MEASUREMENT CARTRIDGE WAS NOT AVAILABLE FOR RETURN. THE K+ SENSOR WAS PERFORMING TYPICALLY. AQC SAMPLES WERE WITHIN PUBLISHED RANGES, INCLUDING SAMPLES AUTO INITIATED AFTER THE SUSPECT SAMPLE WAS RUN. THERE WERE NO SYSTEM ERRORS OR FLUIDIC ERRORS AROUND THE TIME THE SAMPLE WAS ANALYZED. THERE WERE NO K+ CALIBRATION ERRORS OVER THE NEXT TWO DAYS. THE SENSOR OUTPUT IS CONSISTENT WITH THE RESULT PROVIDED. THE CAPILLARY SAMPLE WAS MOST LIKELY IMPACTED BY PRE-ANALYTICAL FACTORS SUCH AS HEMOLYSIS DURING SAMPLE COLLECTION.

Description of Event or Problem · 1

THE CUSTOMER REPORTED DISCREPANT HIGH POTASSIUM RESULTS. THERE WAS NO REPORTED INJURY DUE TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
142363 RAPIDPOINT 500 BLOOD GAS ANALYZER RP 500 CHL SIEMENS HEALTHCARE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1