IMMULITE 2000 030002

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 2013-03-04 for IMMULITE 2000 030002 manufactured by Siemens Healthcare Diagnostics.

Event Text Entries

[15779413] Imprecision was observed on four patient samples for insulin-like growth factor (igf-1) on an immulite 2000 instrument. It is unknown whether patient samples were reported to the physician(s). There were no reports of patient intervention or adverse health consequences due to the imprecision on the four patient samples.
Patient Sequence No: 1, Text Type: D, B5


[15804201] A siemens global product support (gps) specialist evaluated the instrument data, and could not find an instrument malfunction. A siemens field service engineer (fse) was dispatched to the customer site. The fse evaluated the instrument and instrument data, and also could not find an instrument malfunction. The fse performed preventive maintenance and proactively replaced spare parts. The cause of the igf-1 imprecision is unknown. This instrument is performing according to specifications. No further evaluation of this device is required.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2247117-2013-00023
MDR Report Key2988263
Report Source05,06
Date Received2013-03-04
Date of Report2013-02-05
Date of Event2013-01-29
Date Mfgr Received2013-02-05
Date Added to Maude2013-05-10
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 ContactMR. JOHN NELSON
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145242530
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer Street62 FLANDERS BARTLEY ROAD
Manufacturer CityFLANDERS NJ 07836
Manufacturer CountryUS
Manufacturer Postal Code07836
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIMMULITE 2000
Generic NameIMMULITE 2000
Product CodeOAM
Date Received2013-03-04
Model NumberIMMULITE 2000
Catalog Number030002
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer Address62 FLANDERS BARTLEY ROAD FLANDERS NJ 07836 US 07836


Patients

Patient NumberTreatmentOutcomeDate
10 2013-03-04

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