STRATUS CS 10444834

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2014-09-15 for STRATUS CS 10444834 manufactured by Siemens Healthcare Diagnostics Inc - Glasgow.

Event Text Entries

[19591552] Customer reported discordant troponin results on the instrument. There was no report of injury due to this event.
Patient Sequence No: 1, Text Type: D, B5


[19978234] Siemens field service engineer (fse) could not collect the event log because instrument was switched off. Fse performed repeatability test and quality control test and all the troponin results were in range.
Patient Sequence No: 1, Text Type: N, H10


[33503774] The initial mdr was filed with the fda on september 16, 2014. Additional information: based upon the additional information, the issue was consistent with an outlier result due to sample handling (microclots, agglutination, fibrin formation) caused the false elevated result of 2. 48 ng/ml. Customer service engineer (cse) performed precision and qc testing to verify instrument operation. Cse indicated that message log was not available for review so the event could not be investigated further.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1217157-2014-00116
MDR Report Key4090137
Report Source06,07
Date Received2014-09-15
Date of Report2014-08-22
Date of Event2014-08-21
Date Mfgr Received2014-09-19
Date Added to Maude2014-09-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactSTEVEN ANDBERG
Manufacturer Street2 EDGEWATER DRIVE
Manufacturer CityNORWOOD MA 02062
Manufacturer CountryUS
Manufacturer Postal02062
Manufacturer Phone7812693655
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW
Manufacturer StreetGLASGOW BUSINESS COMMUNITY
Manufacturer CityNEWARK DE 19702
Manufacturer CountryUS
Manufacturer Postal Code19702
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTRATUS CS
Generic NameSTRATUS CS
Product CodeJHX
Date Received2014-09-15
Catalog Number10444834
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW
Manufacturer AddressGLASGOW BUSINESS COMMUNITY NEWARK DE 19702 US 19702


Patients

Patient NumberTreatmentOutcomeDate
10 2014-09-15

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