IMMULITE 2000 UNCONJUGATED ESTRIOL IMMULITE 2000 UE3 L2KUE32

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-28 for IMMULITE 2000 UNCONJUGATED ESTRIOL IMMULITE 2000 UE3 L2KUE32 manufactured by Siemens Healthcare Diagnostics Products, Limited.

Event Text Entries

[71237389] The cause of the low ue3 results with kit lot 309 is unkown. Siemens is investigating the issue.
Patient Sequence No: 1, Text Type: N, H10


[71237390] The customer observed a low median distribution of patient results for unconjugated estriol with reagent lot 309 on an immulite 2000 instrument. The initial results have been reported to physician(s) who questioned the results. Repeat testing was not performed on the samples to verify the results. It is unknown if any medical intervention was performed on the patients due to the low unconjugated estriol results. It is unknown if there was any delay in administering treatment or medical intervention to patients due to the low unconjugated estriol results.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2432235-2017-00223
MDR Report Key6438534
Date Received2017-03-28
Date of Report2017-03-28
Date of Event2017-02-01
Date Mfgr Received2017-03-09
Date Added to Maude2017-03-28
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 ContactDEVYANI CHAUDHURI
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145242637
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS, LIMITED
Manufacturer StreetUK REGISTRATION #: 3002806944 GLYN RHONWY
Manufacturer CityLLANBERIS, GWYNEDD LL554EL
Manufacturer CountryUK
Manufacturer Postal CodeLL55 4EL
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameIMMULITE 2000 UNCONJUGATED ESTRIOL
Generic NameIMMULITE 2000 UNCONJUGATED ESTRIOL
Product CodeCGI
Date Received2017-03-28
Model NumberIMMULITE 2000 UE3
Catalog NumberL2KUE32
Lot Number309
Device Expiration Date2017-06-30
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 2017-03-28

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