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 2014-10-31 for IMMULITE 2000 30002 manufactured by Siemens Healthcare Diagnostics Inc..
[4999156]
A discordant, falsely low calcitonin result was obtained on one patient sample on an immulite 2000 instrument. It is unknown if the falsely low result was reported to the physician(s). The sample was repeated on the same instrument twice and resulted higher than the initial result both times. It is unknown if the corrected results were reported to the physician(s). There are no reports of patient intervention or adverse health consequences due to the discordant, falsely low calcitonin result.
Patient Sequence No: 1, Text Type: D, B5
[12481360]
A siemens headquarters support center (hsc) specialist reviewed the instrument data. There was no indication of any sample or reagent level sense inconsistencies. The customer had indicated that the sample was collected on ice and may not have clotted prior to the serum being pipetted from the sample. The cause of falsely low calcitonin result 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
| Report Number | 2247117-2014-00067 |
| MDR Report Key | 4218155 |
| Report Source | 01,05,06 |
| Date Received | 2014-10-31 |
| Date of Report | 2014-10-07 |
| Date of Event | 2014-07-15 |
| Date Mfgr Received | 2014-10-07 |
| Date Added to Maude | 2014-11-14 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | CASSANDRA KOCSIS |
| Manufacturer Street | 511 BENEDICT AVENUE |
| Manufacturer City | TARRYTOWN NY 10591 |
| Manufacturer Country | US |
| Manufacturer Postal | 10591 |
| Manufacturer Phone | 9145242678 |
| Manufacturer G1 | SIEMENS HEALTHCARE DIAGNOSTICS INC. |
| Manufacturer Street | 62 FLANDERS BARTLEY ROAD |
| Manufacturer City | FLANDERS NJ 07836 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 07836 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | IMMULITE 2000 |
| Generic Name | IMMULITE 2000 |
| Product Code | JKR |
| Date Received | 2014-10-31 |
| Model Number | IMMULITE 2000 |
| Catalog Number | 30002 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SIEMENS HEALTHCARE DIAGNOSTICS INC. |
| Manufacturer Address | 62 FLANDERS BARTLEY ROAD FLANDERS NJ 07836 US 07836 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2014-10-31 |