IMMULITE 2000 XPI

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 2016-01-07 for IMMULITE 2000 XPI manufactured by Siemens Healthcare Diagnostics Inc..

Event Text Entries

[35288705] The customer contacted a siemens customer care center (ccc) specialist. The customer stated that calibrations and quality controls were acceptable at the time of the sample run. Siemens healthcare diagnostics is investigating the issue.
Patient Sequence No: 1, Text Type: N, H10


[35288706] Discordant, false non-reactive cytomegalovirus igg (cmv igg) and cytomegalovirus igm (cmv igm) results were obtained on one patient sample on an immulite 2000 xpi instrument. The discordant results were reported to the physician(s). A new sample was obtained from the patient and was tested on the same instrument, resulting reactive. The original sample was then repeated on the same instrument, also resulting reactive. The corrected results were reported to the physician(s). There are no reports of patient intervention or adverse health consequences due to the discordant, false non-reactive cmv igg and cmv igm results.
Patient Sequence No: 1, Text Type: D, B5


[37352890] The initial mdr 2247117-2016-00002 was filed on january 07, 2016. Additional information (01/05/2016): a siemens customer service engineer (cse) specialist was dispatched to the customer site. After evaluating the instrument, the cse performed a preventive maintenance and did not find any instrument malfunction. The cause of the discordant, false non-reactive cmv igg and cmv igm results on one patient sample is unknown. The instrument is performing according to specifications. No further evaluation of the device is required.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2247117-2016-00002
MDR Report Key5351373
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2016-01-07
Date of Report2015-12-16
Date of Event2015-11-30
Date Mfgr Received2016-01-05
Date Added to Maude2016-01-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactCASSANDRA KOCSIS
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145242687
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS INC.
Manufacturer Street62 FLANDERS BARTLEY ROAD
Manufacturer CityFLANDERS NJ 07836
Manufacturer CountryUS
Manufacturer Postal Code07836
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIMMULITE 2000 XPI
Generic NameIMMULITE 2000 XPI
Product CodeLFZ
Date Received2016-01-07
Model NumberIMMULITE 2000 XPI
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC.
Manufacturer Address62 FLANDERS BARTLEY RD FLANDERS NJ 07836 US 07836


Patients

Patient NumberTreatmentOutcomeDate
10 2016-01-07

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.