DIMENSION? FERRITIN FLEX? REAGENT CARTRIDGE RF440 SMN10444946

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2016-07-18 for DIMENSION? FERRITIN FLEX? REAGENT CARTRIDGE RF440 SMN10444946 manufactured by Siemens Healthcare Diagnostics Inc - Glasgow.

Event Text Entries

[49757515] Analysis of instrument data by siemens healthcare diagnostics indicates that the cause for the falsely depressed ferritin (ferr) result was a hook effect. The customer was inquiring about a low unflagged result. The dimension ferr instructions for use (ifu) addresses the potential for hook effect. It states: "one-step sandwich immunometric assays are susceptible to a high-dose "hook effect," where an excess of antigen prevents simultaneous binding of the capture and detection antibodies to a single analyte molecule. Such samples must be diluted and reassayed prior to reporting the results. The ferr method shows no hook effect up to at least 100,000 ng/ml ferritin. " in this instance, the patient sample true results exceeded 100,000 and a discrepant result was unflagged for high absorbance. The reagent is performing within ifu claims. No further evaluation of the device is required.
Patient Sequence No: 1, Text Type: N, H10


[49757516] A falsely depressed ferritin (ferr) result was obtained on a patient sample. The result was reported to the physician. The sample was repeated and a higher result was obtained in concordance with prior patient ferr results and physician expectation. Patient treatment was altered on the basis of the falsely depressed ferr result. A planned medical procedure was postponed. The nature of the procedure was not disclosed. There was no report of adverse health consequences as a result of the falsely elevated ferr result or the procedure postponement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2517506-2016-00281
MDR Report Key5801841
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2016-07-18
Date of Report2016-07-18
Date of Event2016-06-26
Date Mfgr Received2016-06-27
Device Manufacturer Date2016-04-14
Date Added to Maude2016-07-18
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 INC - GLASGOW
Manufacturer StreetGLASGOW BUSINESS COMMUNITY 500 GBC DRIVE
Manufacturer CityNEWARK DE 19714
Manufacturer CountryUS
Manufacturer Postal Code19714
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDIMENSION? FERRITIN FLEX? REAGENT CARTRIDGE
Generic NameDIMENSION? FERR FERRITIN FLEX? REAGENT CARTRIDGE
Product CodeJMG
Date Received2016-07-18
Catalog NumberRF440 SMN10444946
Lot NumberDA7104
Device Expiration Date2017-04-14
OperatorMEDICAL TECHNOLOGIST
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW
Manufacturer AddressGLASGOW BUSINESS COMMUNITY 500 GBC DRIVE NEWARK DE 19714 US 19714


Patients

Patient NumberTreatmentOutcomeDate
10 2016-07-18

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