FDA Adverse Event Injury Summary report: N

STA COMPACT MAX

MDR report key: 9046001 · Received September 13, 2019

Report

Report Number
8043723-2019-00008
Event Type
Injury
Date Received
September 13, 2019
Date of Event
August 12, 2019
Report Date
June 25, 2025
Manufacturer
DIAGNOSTICA STAGO S.A.S.
Product Code
JPA
UDI-DI
03607450589900
PMA / PMN Number
K130090
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
501

Narratives

Description of Event or Problem · 1

A LAB TECHNICIAN MANUALLY ENTERED AN INCORRECT RESULT FOR A PATIENT: 20.0 ¿G/ML INSTEAD OF 0.37¿G/ML. THE TECHNICIAN CONFUSED THE END PART OF THE NAME OF THE ASSAY "LIA-TEST DDI 20 ¿G/ML" AS THE RESULT. CUSTOMER ACKNOWLEDGED THERE WAS NOTHING WRONG WITH THE ANALYZER. INSTRUCTIONS WERE GIVEN TO CUSTOMER TO CHANGE THE NAME OF THE TEST, TO AVOID CONFUSION. BASED UPON THE REPORTED RESULT THE PATIENT RECEIVED A CT ANGIOGRAM. THIS DID NOT RESULT IN ANY INJURY, IMPAIRMENT, OR DEATH TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
823709 STA COMPACT MAX IVD COAGULATION DEVICE/INSTRUMENT JPA DIAGNOSTICA STAGO S.A.S. 58990 03607450589900

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other