IMMULITE 2000 IGF-1 N/A L2KGF

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 2012-08-23 for IMMULITE 2000 IGF-1 N/A L2KGF manufactured by Siemens Healthcare Diagnostics.

Event Text Entries

[2929169] Customer noticed increased rate of elevated patient results for patient samples using the igf-1 method on the immulite 2000 xpi system. The endocrinologists are performing an increased number of ggt suppression tests with growth hormones to exclude acromegaly. There was no known report of treatment given or withheld based on the igf-1 results.
Patient Sequence No: 1, Text Type: D, B5


[10033852] Siemens is currently investigating this issue.
Patient Sequence No: 1, Text Type: N, H10


[10341272] (b)(4): additional information: an urgent field safety notice (ufsn), (b)(4) - "immulite / immulite 1000 / immulite 2000 / immulite 2000 xpi all immulite platforms for igf-i shift in patient medians and supply disruption" was sent to customers in (b)(4) 2012.
Patient Sequence No: 1, Text Type: N, H10


[10497236] The initial mdr 2432235-2012-00251 was filed on (b)(4), 2012. The first follow-up mdr 2432235-2012-00251_s1 was filed on (b)(4), 2012. (b)(4) 2012: additional information: the corrections and removal report (crr) was filed with the fda on (b)(4), 2012. The crr number is 2432235-11/28/2012-007-c. Mdr 2432235-2012-00251_s1 states that the patient gender was female. The patient gender is unknown.
Patient Sequence No: 1, Text Type: N, H10


[26377310] Corrected information (10/3/2013): upon review of the supplemental mdr 2432235-2013-00251_s2 it was noted that the initial mdr number was entered incorrectly. The correct number is 2432235-2012-00251. In addition the follow up mdr number 2432235-2013-00251_s2 was entered incorrectly in the manufacturer report number section (mfr report #). The corrected number is 2432235-2012-00251_s2.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2432235-2012-00251
MDR Report Key2711273
Report Source05,06
Date Received2012-08-23
Date of Report2012-06-08
Date of Event2012-06-07
Date Mfgr Received2013-10-03
Date Added to Maude2012-12-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS. MINDY LOSAPIO
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145242312
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer StreetGLYN RHONWY LLANBERIS
Manufacturer CityCAERNARFON, GWYNEDD,, WALES LL554EL
Manufacturer CountryUK
Manufacturer Postal CodeLL55 4EL
Single Use3
Previous Use Code3
Removal Correction Number2432235-11/28/2012-007-C
Event Type3
Type of Report3

Device Details

Brand NameIMMULITE 2000 IGF-1
Generic NameIGF-1 IMMUNO-ASSAY
Product CodeCFL
Date Received2012-08-23
Model NumberN/A
Catalog NumberL2KGF
Lot Number462, 465, 471, 472, 473
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer AddressGLYN RHONWY LANNBERIS CAERNARFON, GWYNEDD,, WALES LL554EL UK LL55 4EL


Patients

Patient NumberTreatmentOutcomeDate
10 2012-08-23

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