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 |