IMMULITE 2000 PROGESTERONE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-07-16 for IMMULITE 2000 PROGESTERONE manufactured by Siemens Healthcare Diagnostics Products, Limited.

Event Text Entries

[50623627] The cause of the discordant, falsely low progesterone results on one patient is unknown. Siemens healthcare diagnostics is investigating the issue.
Patient Sequence No: 1, Text Type: N, H10


[50623628] Discordant, falsely low immulite 2000 xpi progesterone results were obtained when comparing two samples drawn from the same patient within a few hours of one another. Sample id (b)(6) was initially tested on an alternate customer site and the results obtained on advia centaur xp and immulite 2000 xpi instruments did not match. One of the results obtained on advia centaur xp instrument was reported to the physician(s). A different sample was drawn from the patient a few hours later at this customer site. This sample was run on the immulite 2000 xpi and advia centaur xp instruments and the results still did not match. It is unknown which results were considered correct. There are no known reports of patient intervention or adverse health consequences due to the discordant, falsely low progesterone results.
Patient Sequence No: 1, Text Type: D, B5


[51355728] The initial mdr 2432235-2016-00394 was filed on july 15, 2016. Additional information (07/25/2016): information regarding reagent lot # for immulite 2000 xpi progesterone was received. The reagent lot # is 457 and has been amended with this information. Additional information (07/28/2016): a siemens headquarters support center (hsc) specialist reviewed the data provided by the customer and indicated that different antibodies are used to create progesterone assay. Advia centaur xp uses mouse monoclonal and immulite 2000 xpi uses rabbit polyclonal antibodies, and therefore they can show different cross reactivity. The patient samples, medications or treatment were not provided for further investigation or to rule out cross reactivity. Immunoassays can be subject to a number of interferences including exogenous interferences such as drugs, nutritional supplements and/or herbal medicine in the blood. The hsc specialist reviewed the quality control data and indicated that the quality controls were acceptable indicating that the assay is performing as expected.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2432235-2016-00394
MDR Report Key5800078
Date Received2016-07-16
Date of Report2016-08-05
Date of Event2016-06-19
Date Mfgr Received2016-07-25
Date Added to Maude2016-07-16
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 ContactAARTI AZIZ
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145242683
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS, LIMITED
Manufacturer StreetREGISTRATION #: 3002806944 GLYN RHONWY
Manufacturer CityLLANBERIS, GWYNEDD, LL554EL
Manufacturer CountryUK
Manufacturer Postal CodeLL55 4EL
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIMMULITE 2000 PROGESTERONE
Generic NameIMMULITE 2000 PROGESTERONE
Product CodeJLS
Date Received2016-07-16
Model NumberIMMULITE 2000 PROGESTERONE
Lot Number457
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS, LIMITED
Manufacturer AddressGLYN RHONWY LLANBERIS GWYNEDD, LL554EL UK LL55 4EL


Patients

Patient NumberTreatmentOutcomeDate
10 2016-07-16

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