LACTATE REAGENT (LACT 2 X 50) A95550

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-05-11 for LACTATE REAGENT (LACT 2 X 50) A95550 manufactured by Beckman Coulter.

Event Text Entries

[45225829] Beckman coulter studies determined that metamizole (dipyrone) interferes with beckman coulter synchron lactate assay: interference seen with 0. 8 mg/ml dipyrone (max daily dose) was a negative bias of 19. 9%. Interference seen with 4 mg/ml dipyrone (5x daily dose) was a negative bias of 41. 6%. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[45225830] Metamizole (dipyrone) has been identified as an undocumented interferent which may cause false low lactate (lact) results. No external customer complaints have been received for this particular issue. No results were reported outside the laboratory. There was no report of change in patient treatment in connection with this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2050010-2016-00002
MDR Report Key5648413
Date Received2016-05-11
Date of Report2016-04-21
Date of Event2016-04-21
Date Mfgr Received2016-04-21
Date Added to Maude2016-05-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. DAVID DAVIS
Manufacturer Street250 S. KRAEMER BLVD M/S E1.SE.01
Manufacturer CityBREA CA 928218000
Manufacturer CountryUS
Manufacturer Postal928218000
Manufacturer Phone7149613796
Manufacturer G1BECKMAN COULTER
Manufacturer Street2470 FARADAY AVE
Manufacturer CityCARLSBAD CA 92010
Manufacturer CountryUS
Manufacturer Postal Code92010
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report0

Device Details

Brand NameLACTATE REAGENT (LACT 2 X 50)
Generic NameNAD REDUCTION/NADH OXIDATION, LACTATE DEHYDROGENASE
Product CodeCFJ
Date Received2016-05-11
Model NumberLACTATE
Catalog NumberA95550
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER
Manufacturer Address250 S. KRAEMER BLVD BREA CA 928218000 US 928218000


Patients

Patient NumberTreatmentOutcomeDate
10 2016-05-11

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