DIMENSION(R) CLINICAL CHEMISTRY SYSTEM DF89A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,06 report with the FDA on 2014-02-14 for DIMENSION(R) CLINICAL CHEMISTRY SYSTEM DF89A manufactured by Siemens Healthcare Diagnostics Inc - Glasgow.

Event Text Entries

[16548939] Customer reported variability of recovery of qc samples for cyclosporin a (csa) depending upon the length of time running the samples within the reagent open well claim. The customer reported that qc out of range results occured with time after the initial day of open well age for two csa flex(r) reagent cartridge lots. It is unknown if patient results were reported. It is unknown if patient treatment was altered or prescribed due to the variable results with time after hydration of the csa reagent open wells. There was no report of adverse health consequences as a result of the variability of results.
Patient Sequence No: 1, Text Type: D, B5


[16691377] The cause of the qc variability and qc out of range recoveries with time (days) after reagent well hydration is unknown. The open well stability issue is under investigation by siemens healthcare diagnostics.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2517506-2014-00029
MDR Report Key3628966
Report Source01,05,06
Date Received2014-02-14
Date of Report2014-01-20
Date of Event2013-12-02
Date Mfgr Received2014-01-20
Device Manufacturer Date2013-08-08
Date Added to Maude2014-05-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactJAMES MORGERA
Manufacturer StreetGLASGOW BUSINESS COMMUNITY PO BOX 6101
Manufacturer CityNEWARK DE 197146101
Manufacturer CountryUS
Manufacturer Postal197146101
Manufacturer Phone3026318356
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW
Manufacturer StreetGLASGOW BUSINESS COMMUNITY 500 GBC DRIVE
Manufacturer CityNEWARK DE 19714
Manufacturer CountryUS
Manufacturer Postal Code19714
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDIMENSION(R) CLINICAL CHEMISTRY SYSTEM
Generic NameCYCLOSPORINE FLEX? REAGENT CARTRIDGE
Product CodeMKW
Date Received2014-02-14
Catalog NumberDF89A
Lot NumberGB4221
Device Expiration Date2014-08-09
OperatorMEDICAL TECHNOLOGIST
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW
Manufacturer AddressGLASGOW BUSINESS COMMUNITY 500 GBC DRIVE NEWARK DE 19702 US 19702


Patients

Patient NumberTreatmentOutcomeDate
10 2014-02-14

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