IMMULITE 2000 TOXOPLASMA IGG N/A L2KTXP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2011-05-03 for IMMULITE 2000 TOXOPLASMA IGG N/A L2KTXP manufactured by Siemens Healthcare Diagnostics.

Event Text Entries

[1851064] A discordant immulite 2000 false positive toxoplasma igg result was obtained on one (1) patient sample. (the patient had previously tested negative several months prior). The positive sample was then sent to a second laboratory for confirmation, the result returned was negative. There is no known report of patient intervention or adverse health consequences due to the discordant toxoplasma igg result.
Patient Sequence No: 1, Text Type: D, B5


[9029434] A siemens technical service engineer (tse) evaluated the immulite 2000 instrument data. Analysis of the instrument data indicated that the cause for the discordant toxoplasma igg result is unknown. The instrument is performing within specifications. No further evaluation of the device is required.
Patient Sequence No: 1, Text Type: N, H10


[22129787] Siemens filed the initial mdr 2432235-2011-00065 on (b)(4) 2011. Updated (b)(4) 2012: it was found that a lot of bovine serum albumin (bsa) was the cause of the false positive immulite systems toxoplasma quantitative igg results, however siemens has investigated the issue and has determined that the frequency of the false positive patient results reported are within the ifu specificity claims of (b)(4) for the immulite systems toxoplasma quantitative igg assay.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2432235-2011-00065
MDR Report Key2074946
Report Source05,06
Date Received2011-05-03
Date of Report2011-04-08
Date of Event2011-02-14
Date Mfgr Received2011-09-01
Date Added to Maude2012-02-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactBARBARA KVASNOSKY
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145243658
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer StreetGLYN RHONWY LLANBERIS
Manufacturer CityGWYNEDD, WALES LL554EL
Manufacturer CountryUK
Manufacturer Postal CodeLL55 4EL
Single Use3
Remedial ActionOT
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameIMMULITE 2000 TOXOPLASMA IGG
Generic NameTOXOPLASMA IGG IMMUNOASSAY
Product CodeDGC
Date Received2011-05-03
Model NumberN/A
Catalog NumberL2KTXP
Lot Number362
OperatorOTHER
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer AddressLLANBERRIS GWYNEDD, WALES LL554EL UK LL55 4EL


Patients

Patient NumberTreatmentOutcomeDate
10 2011-05-03

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