IMMULITE 2000 THYROGLOBULIN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-07-21 for IMMULITE 2000 THYROGLOBULIN manufactured by Siemens Healthcare Diagnostics Products Limited.

Event Text Entries

[50964565] The cause of the failed slopes for the tg assay on the immulite 2000 instrument is unknown. Siemens is investigating the issue.
Patient Sequence No: 1, Text Type: N, H10


[50964566] The customer has indicated that they are obtaining failed slopes for the thyroglobulin assay (tg) on the immulite 2000 instrument. A new reagent lot was shipped to the customer site, but the tg slopes continued to fail. Patient samples were not run or reported due to the slope failure on the instrument. The customer has a reported a delay in reporting patient results due to the high slopes on the immulite 2000 instrument. There were no reports of patient intervention or adverse health consequences due to the failed adjustment slopes for the tg assay.
Patient Sequence No: 1, Text Type: D, B5


[55339299] The initial mdr 2432235-2016-00387 was filed on july 21, 2016. Additional information (08/08/2016): on (b)(6) 2016, the customer received reagent kit 336, which was kept at the room temperature overnight prior to being refrigerated. The operator performed a slope adjustment on this reagent kit and it failed. The operator repeated the slope adjustment with a fresh adjustor, and the slope failed again. The slope adjustment passed on the third attempt. Quality controls were within acceptable ranges. The customer stated that no patient care was affected due to delay in reporting of patient results. The patient sample results were within expectations. As per immulite 2000 thyroglobulin instructions for use, reagents should be stored at 2-8 degree celsius. The cause of the failed adjustment slopes for the thyroglobulin assay on immulite 2000 instrument is unknown. Corrected information (09/01/2016): (b)(6).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2432235-2016-00387
MDR Report Key5811891
Date Received2016-07-21
Date of Report2016-09-01
Date of Event2015-06-08
Date Mfgr Received2016-08-08
Date Added to Maude2016-07-21
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 StreetGLYN RHOWNY, LLANBERIS GWYNESS, CAERNARFON
Manufacturer CityWALES, LL554EL
Manufacturer CountryUK
Manufacturer Postal CodeLL55 4EL
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIMMULITE 2000 THYROGLOBULIN
Generic NameIMMULITE 2000 THYROGLOBULIN
Product CodeMSW
Date Received2016-07-21
Model NumberIMMULITE 2000 THYROGLOBULIN
Lot Number334, 337
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS LIMITED
Manufacturer AddressGLYN RHOWNY LLANBERIS, CAERNARFON GWYNEDD, WALES, LL554EL UK LL55 4EL


Patients

Patient NumberTreatmentOutcomeDate
10 2016-07-21

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