DIMENSION EXL 200

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-04-21 for DIMENSION EXL 200 manufactured by Siemens Healthcare Diagnostics Inc..

Event Text Entries

[73465219] The customer contacted a siemens customer care center (ccc). Ccc reviewed the instrument data file which indicated that the sample was spun at 3500 revolution per minute (rpm) for 3 minutes in stat spin processed in primary tube. A siemens customer service engineer (cse) was dispatched to the customer site. After evaluating the instrument, the cse aligned all the probes. The customer ran quality control (qc), resulting within limits. The cause of the discordant, falsely low nt-probnp result is unknown. The instrument is performing according to specifications. No further evaluation of the device is required.
Patient Sequence No: 1, Text Type: N, H10


[73465220] A discordant, falsely low n-terminal pro-brain natriuretic peptide (nt-probnp) result was obtained on a patient plasma sample on a dimension exl 200 instrument. The discordant result was reported to the physician(s), who questioned it. The sample was repeated on the same instrument, resulting higher and matching the patient's clinical picture. The repeated result was reported to the physician(s). There are no reports of patient intervention or adverse health consequences due to the discordant, falsely low nt-probnp result.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2517506-2017-00421
MDR Report Key6513180
Report SourceHEALTH PROFESSIONAL
Date Received2017-04-21
Date of Report2017-04-21
Date of Event2017-03-29
Date Mfgr Received2017-03-29
Device Manufacturer Date2016-05-03
Date Added to Maude2017-04-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. MARGARITA KARAN
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145243105
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS INC.
Manufacturer StreetREGISTRATION #: 1226181 101 SILVERMINE ROAD
Manufacturer CityBROOKFIELD CT 06804
Manufacturer CountryUS
Manufacturer Postal Code06804
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameDIMENSION EXL 200
Generic NameCLINICAL CHEMISTRY ANALYZER
Product CodeNBC
Date Received2017-04-21
Model NumberDIMENSION EXL 200
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC.
Manufacturer Address500 GBC DRIVE P.O. BOX 6101 NEWARK DE 197146101 US 197146101

Device Sequence Number: 1

Brand NameDIMENSION EXL 200
Generic NameCLINICAL CHEMISTRY ANALYZER
Product CodeJJE
Date Received2017-04-21
Model NumberDIMENSION EXL 200
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC.
Manufacturer Address500 GBC DRIVE P.O. BOX 6101 NEWARK DE 197146101 US 197146101


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-21

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