FACTOR VIII CHROMOGENIC ASSAY B4238-40

MAUDE Adverse Event Report

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 2015-11-23 for FACTOR VIII CHROMOGENIC ASSAY B4238-40 manufactured by Siemens Healthcare Diagnostics Products Gmbh.

Event Text Entries

[31802036] The cause of the flagged plasma n control results with the f viii reagent lot 44637 is unknown. Root cause investigation has been initiated and is ongoing. Manufacturer's preliminary analysis: during investigations, siemens healthcare diagnostics has observed that the above mentioned lot is showing an increased occurrence of irregular curves when used for measurement on sysmex ca-/cs- instruments. This could lead under certain circumstances to an erroneously increased result with a factor viii chromogenic assay. The use of the affected lot on the bcs/ and bcs xp system is not affected by this issue. Siemens issued an urgent field safety notice br-01216 outside the u. S and an urgent medical device correction communication ph-16-002. A. Us within the u. S. The communication, dated november 2015, was entitled higher occurrence of irregular curves with factor viii chromogenic assay lot #44637. It instructed customers who had ordered the impacted lot of factor viii chromogenic assay on a sysmex ca-1500, ca-7000 in the u. S. And also, cs-2000i, cs-2100i, or cs5100 instruments outside the u. S. , to discontinue use of lot 44637. It notified customers that some patient results may show a positive bias of more than 20% over the complete measuring range and that results that cross the medical decision points might be incorrectly assessed. Further, the letter stated that due to a different detection principle, the use on bcs and bcs xp instruments is not affected and that they can continue using the product on bcs / bcs xp. Siemens healthcare diagnostics is continuing to investigate the issue. Siemens will provide an update to this report if additional information becomes available.
Patient Sequence No: 1, Text Type: N, H10


[31802037] The customer complained of obtaining "no linearity" error flags with plasma n control with the factor viii (f viii) reagent lot 44637 on the cs-2000i instrument system. Patient samples were not impacted. No discrepant patient results were reported to physicians. Patient treatment was not altered or prescribed on the basis of the flagged plasma n control results with the f viii reagent. There was no report of adverse health consequences as a result of the flagged plasma n control results with the f viii reagent.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610806-2015-00073
MDR Report Key5242302
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2015-11-23
Date of Report2015-11-03
Date of Event2015-04-13
Date Mfgr Received2015-11-03
Device Manufacturer Date2015-01-23
Date Added to Maude2015-11-23
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 FDA3
Event Location3
Manufacturer ContactJAMES MORGERA
Manufacturer StreetGLASGOW BUSINESS COMMUNITY PO BOX 6101
Manufacturer CityNEWARK DE 197146101
Manufacturer CountryUS
Manufacturer Postal197146101
Manufacturer Phone3026318356
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBH
Manufacturer Street76 EMIL VON BEHRING STRASSE
Manufacturer CityMARBURG, 35041
Manufacturer CountryGM
Manufacturer Postal Code35041
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction Number2432235-11-18-2015-008-C
Event Type3
Type of Report3

Device Details

Brand NameFACTOR VIII CHROMOGENIC ASSAY
Generic NameFACTOR VIII CHROMOGENIC ASSAY
Product CodeGGP
Date Received2015-11-23
Catalog NumberB4238-40
Lot Number44637
Device Expiration Date2016-11-30
OperatorMEDICAL TECHNOLOGIST
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBH
Manufacturer Address76 EMIL VON BEHRING STRASSE MARBURG, 35041 GM 35041


Patients

Patient NumberTreatmentOutcomeDate
10 2015-11-23

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