IMMULITE 2000 H. PYLORI IGG L2KHEQ

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,08 report with the FDA on 2001-04-18 for IMMULITE 2000 H. PYLORI IGG L2KHEQ manufactured by Diagnostic Products Corp..

Event Text Entries

[188957] Dpc received a report of discrepant results observed with immulite 2000 h. Pylori, kit lot l2kheq 104. A review of in-house quality control data indicated that the kit was performing within specifications. The discrepant samples were sent to dpc-la for testing. The discordant results were confirmed to be false positives. The investigation identified the root cause as the antigen used to coat the beat component. New procedures have been implemented to improve antigen conformance testing. The immulite h. Pylori and immulite 2000 h. Pylori assays are intended to be used as an aid in the diagnosis of h. Pylori infection in symptomatic individuals. Breath tests and endoscopic results are frequently used in conjunction with blood serological tests to confirm infection. Due to the prevalence of antibodies to h. Pylori in the general population, a positive h. Pylori result may not indicate an active infection or that the existing symptoms, if present, are the result of h. Pylori infection. Infection may have occurred some time in the past and may be unrelated to the reported symptoms. A positive h. Pylori test may lead to antibiotic treatment. Because it is not possible to identify those patients in which treatment will resolve the symptoms, all patients with symptoms are treated.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2017183-2001-00001
MDR Report Key328278
Report Source01,08
Date Received2001-04-18
Date Mfgr Received2001-03-21
Device Manufacturer Date2000-09-01
Date Added to Maude2001-04-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactROBERT DITULLIO, VICE PRESIDENT
Manufacturer Street5700 WEST 96TH ST.
Manufacturer CityLOS ANGELES CA *
Manufacturer CountryUS
Manufacturer Postal*
Manufacturer Phone3106458200
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionNO
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIMMULITE 2000 H. PYLORI IGG
Generic NameIN-VITRO DIAGNOSTIC TEST KIT
Product CodeLYR
Date Received2001-04-18
Model NumberNA
Catalog NumberL2KHEQ
Lot Number104
ID NumberNA
Device Expiration Date2001-10-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key317662
ManufacturerDIAGNOSTIC PRODUCTS CORP.
Manufacturer Address5700 WEST 96TH ST. LOS ANGELES CA 90045 US
Baseline Brand NameIMMULITE 2000 H. PYLORI IGG
Baseline Generic NameIVD TEST KIT
Baseline Model NoNA
Baseline Catalog NoL2KHEQ
Baseline ID104
Baseline Device FamilyIMMULITE 2000 IMMUNOASSAY KIT
Baseline Shelf Life ContainedY
Baseline Shelf Life [Months]12
Baseline PMA FlagN
Baseline 510K PMNY
Premarket NotificationK000463
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptN


Patients

Patient NumberTreatmentOutcomeDate
10 2001-04-18

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