DADE ACTIN FS ACTIVATED PTT REAGENT B4218

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 2016-02-11 for DADE ACTIN FS ACTIVATED PTT REAGENT B4218 manufactured by Siemens Healthcare Diagnostics Products Gmbh.

Event Text Entries

[38032784] Siemens healthcare diagnostics has confirmed complaints about downward drifting recovery of control plasma p lots 509973a and 509973c with lots 538484 and 538485a of dade? Actin? Fs activated ptt reagent on the bcs/bcs xp system. The impact on patient sample recovery with the dade actin fs activated ptt reagent lots was investigated. The investigation showed no effect on patient sample recovery. No lookback for previously reported patient test results was recommended. No us customers received the affected product. A customer letter was distributed to outside us customers. The outside us customer letter (b)(4) dated june 2015 was issued to the potentially impacted customers. The communication was sent to inform those customers using the combination of actin fs and control plasma p on the bcs/bcs xp system about the issue and to recommend usage of an alternate control plasma p lot of dade ci-trol 2/citrol 3 as pathological control instead of control plasma p.
Patient Sequence No: 1, Text Type: N, H10


[38032845] A customer complained of downward drift of control plasma p (cpp) control recoveries with actin fs activated ptt reagent on the bcs system. Patient samples were run during the period of control recovery drift. The complainant gave no indication of patient sample results being questioned by physicians during the period of control recovery drift. There is no indication of patient treatment being altered or prescribed during the period of control recovery drift. There was no report of adverse health consequences during the period of control recovery drift.
Patient Sequence No: 1, Text Type: D, B5


[38254490] Siemens healthcare diagnostics inc. Filed the initial mdr (9610806-2016-00006) on february 11, 2016. February 12, 2016 additional information: no us customers received the affected product. A customer letter was distributed to outside us customers. The outside us customer letter br-02315 dated march 2015 was issued to the potentially impacted customers. The communication was sent to inform those customers using the combination of actin fs and control plasma p on the bcs/bcs xp system about the issue and to recommend usage of an alternate control plasma p lot of dade ci-trol 2/ci-trol 3 as pathological control instead of control plasma p.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9610806-2016-00006
MDR Report Key5430895
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2016-02-11
Date of Report2015-06-16
Date of Event2015-03-30
Date Mfgr Received2015-03-19
Device Manufacturer Date2014-06-04
Date Added to Maude2016-02-11
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
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDADE ACTIN FS ACTIVATED PTT REAGENT
Generic NameDADE ACTIN FS ACTIVATED PTT REAGENT
Product CodeGGW
Date Received2016-02-11
Catalog NumberB4218
Lot Number538484
OperatorMEDICAL TECHNOLOGIST
Device AvailabilityN
Device AgeDA
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 2016-02-11

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