IMMULITE 2000 IGF-1 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 2012-11-20 for IMMULITE 2000 IGF-1 L2KGF manufactured by Siemens Healthcare Diagnostics.

Event Text Entries

[3043710] The laboratory evaluated their data from the past three years for insulin-like growth factor (igf-1) on an immulite 2000 instrument and stated that there had been an overall positive shift. There was a shift of approximately nine percent in (b)(6) 2010 when the customer began using lot 450. A second shift, of approximately seven percent, occurred in (b)(6) 2011 when the customer began using lot 470. There were no reports of patient intervention or adverse health consequences due to the discordant igf-1 results.
Patient Sequence No: 1, Text Type: D, B5


[10322270] The cause of the increase in abnormal results for igf-1 is unknown. An urgent medical device correction (umdc), umdc 2012-11-13 - "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 november 2012. Siemens is investigating this issue.
Patient Sequence No: 1, Text Type: N, H10


[10463920] The initial mdr 2432235-2012-00390 was filed on november 20, 2012. (b)(4): additional information: the corrections and removal report (crr) was filed with the fda on november 28, 2012. The crr number is 2432235-11/28/2012-007-c.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2432235-2012-00390
MDR Report Key2840857
Report Source05,06
Date Received2012-11-20
Date of Report2012-10-22
Date of Event2012-08-10
Date Mfgr Received2012-11-28
Date Added to Maude2013-02-26
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 ContactMINDY LOSAPIO
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145242312
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer StreetGLYN RHONWY LLANBERIS, CAERNARFON
Manufacturer CityGWYNEDD, 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 NameIMMULITE 2000
Product CodeCFL
Date Received2012-11-20
Model NumberIMMULITE 2000 IGF-1
Catalog NumberL2KGF
Lot Number450; 470
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer AddressGLYN RHONWY LLANBERIS, CAERNARFON GWYNEDD, WALES LL554EL UK LL55 4EL


Patients

Patient NumberTreatmentOutcomeDate
10 2012-11-20

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