FDA Adverse Event Malfunction Summary report: N

HITACHI 912

MDR report key: 686840 · Received March 8, 2006

Report

Report Number
1823260-2006-01135
Event Type
Malfunction
Date Received
March 8, 2006
Date of Event
February 21, 2006
Report Date
February 22, 2006
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

INITIAL RESULT FOR A PT ISE WAS 112/102/4.5 FOR NA/CL/K. WHEN REPEATED, THE RESULT WERE 125/91/4.9 RESPECTIVELY. THE INCORRECT RESULTS WERE NOT REPORTED. THE FIELD SERVICE REP. WAS UNABLE TO CONFIRM ANY MALFUNCTION OF THE SYSTEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HITACHI 912 CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS 912 NA

Patients

Seq Age Sex Outcome Treatment
1 NO INFO