IMMULITE 2000 THYROGLOBULIN L2KTY2

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2012-02-09 for IMMULITE 2000 THYROGLOBULIN L2KTY2 manufactured by Siemens Healthcare Diagnostics Products Ltd..

Event Text Entries

[2536994] Discordant high thyroglobulin (tg) results were obtained with two (2) samples (from the same patient) on an immulite 2000 xpi analyzer. The patient's two samples were initially tested on the immulite 2000 xpi analyzer. The laboratory questioned the initial tg results as "implausible" due to the patient's clinical history. The second sample was retested with a ria method, and the repeat result was reported out. There were no known reports of patient treatment being altered or prescribed due to the discordant tg results. There were no known no reports of adverse health consequences due to the discordant tg results.
Patient Sequence No: 1, Text Type: D, B5


[9588447] The customer contacted the siemens healthcare technical solutions center (tsc) regarding the discordant high tg patient sample results. Siemens obtained the patient sample, and the discordant patient sample results were confirmed by siemens in-house testing. The cause of the discordant tg results is unknown.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2432235-2012-00029
MDR Report Key2444748
Report Source05,06,07
Date Received2012-02-09
Date of Report2012-01-24
Date of Event2011-11-09
Date Mfgr Received2012-01-24
Date Added to Maude2012-08-15
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 ContactLINDA BARLETTA
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145242299
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer StreetGLYN RHONWY LLANBERIS
Manufacturer CityGWYNEDD, WALES LL554EL
Manufacturer CountryUK
Manufacturer Postal CodeLL55 4EL
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameIMMULITE 2000 THYROGLOBULIN
Generic NameTHYROGLOBULIN ASSAY
Product CodeMSW
Date Received2012-02-09
Catalog NumberL2KTY2
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS LTD.
Manufacturer AddressGLYN RHONWY LLANBERIS GWYNEDD, WALES LL554EL UK LL55 4EL


Patients

Patient NumberTreatmentOutcomeDate
10 2012-02-09

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