BN PROSPEC? SYSTEM SMN10461865

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 2016-12-15 for BN PROSPEC? SYSTEM SMN10461865 manufactured by Siemens Healthcare Diagnostics Products Gmbh.

Event Text Entries

[62471911] The cause of the discordant low n latex flc result is unknown. Siemens headquarters support center evaluated the data files provided by the account. The account provided data files but not the correct files for the sample id in question. Because of the lack of information, no root-cause could be identified.
Patient Sequence No: 1, Text Type: N, H10


[62471912] A discordant low n latex flc lambda result was obtained on a patient sample on the bn prospec instrument. The result was reported to the physician who questioned the result. The same sample was repeated on the same instrument and a higher result was obtained. A corrected result was reported. There is no indication that patient treatment was altered or prescribed on the basis of the discordant low n latex flc lambda result. There was no report of adverse health consequences as a result of the discordant low n latex flc lambda result.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610806-2016-00045
MDR Report Key6177307
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2016-12-15
Date of Report2016-12-15
Date of Event2016-11-17
Date Mfgr Received2016-11-17
Date Added to Maude2016-12-15
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 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 StreetEMIL VON BEHRING STRASSE 76
Manufacturer CityMARBURG, D-35041
Manufacturer CountryGM
Manufacturer Postal CodeD-35041
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBN PROSPEC? SYSTEM
Generic NameBN PROSPEC? SYSTEM,
Product CodeJZW
Date Received2016-12-15
Model NumberBN PROSPEC
Catalog NumberSMN10461865
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBH
Manufacturer AddressEMIL VON BEHRING STRASSE 76 MARBURG, D-35041 GM D-35041


Patients

Patient NumberTreatmentOutcomeDate
10 2016-12-15

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