MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2015-10-23 for DIMENSION VISTA? SYSTEM K7024 manufactured by Siemens Healthcare Diagnostics Products Gmbh.
[29031532]
Siemens healthcare diagnostics is investigating an increase in the rate of "abnormal assay" errors and calibration failures with the dimension vista(r) b2mic flex(r) reagent cartridge lot 15175ma. The errors can occur on calibration, qc, and/or patient samples. As stated in the dimension vista operator's guide, results with abnormal assay flags are not reportable.
Patient Sequence No: 1, Text Type: N, H10
[29031533]
The customer complained of obtaining abnormal assay e143 flags on qc and patient samples with the beta-2 microglobulin (b2mic) flex (r) reagent cartridge lot 15175ma on the dimension vista instrument. There is no indication that patient treatment was altered or prescribed on the basis of the abnormal assay flags on b2mic results. There is no indication of adverse patient impact due the the abnormal assay flags on b2mic results.
Patient Sequence No: 1, Text Type: D, B5
[32486745]
Original mdr was submitted 2015-10-23. Siemens healthcare diagnostics has confirmed complaints of an increase in the rate of "abnormal assay" errors and calibration failures with the dimension vista b2mic flex reagent cartridge lots 15175ma, 15204ma, 15246ma and 15267ma. The errors can occur on calibration, qc and/or patient samples. As stated in the dimension vista operator's guide, results with "abnormal assay" flags are not reportable. Siemens issued an urgent medical device recall communication (b)(4) dated november 2015 to customers who had ordered the impacted lots advising them to discontinue the use of the lot.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 9610806-2015-00043 |
| MDR Report Key | 5171047 |
| Report Source | FOREIGN,HEALTH PROFESSIONAL,U |
| Date Received | 2015-10-23 |
| Date of Report | 2015-11-03 |
| Date of Event | 2015-09-28 |
| Date Mfgr Received | 2015-11-03 |
| Device Manufacturer Date | 2015-06-24 |
| Date Added to Maude | 2015-10-23 |
| 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 |
| Reporter Occupation | MEDICAL TECHNOLOGIST |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | JAMES MORGERA |
| Manufacturer Street | GLASGOW BUSINESS COMMUNITY PO BOX 6101 |
| Manufacturer City | NEWARK DE 197146101 |
| Manufacturer Country | US |
| Manufacturer Postal | 197146101 |
| Manufacturer Phone | 3026318356 |
| Manufacturer G1 | SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBH |
| Manufacturer Street | 76 EMIL VON BEHRING STRASSE |
| Manufacturer City | MARBURG, 35041 |
| Manufacturer Country | GM |
| Manufacturer Postal Code | 35041 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | Z-2450-2015 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | DIMENSION VISTA? SYSTEM |
| Generic Name | B2MIC FLEX? REAGENT CARTRIDGE AND URINE STABILIZER |
| Product Code | JZG |
| Date Received | 2015-10-23 |
| Catalog Number | K7024 |
| Lot Number | 15175MA |
| Device Expiration Date | 2016-11-17 |
| Operator | MEDICAL TECHNOLOGIST |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBH |
| Manufacturer Address | 76 EMIL VON BEHRING STRASSE MARBURG, 35041 GM 35041 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2015-10-23 |