MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-09-27 for RAPIDPOINT 405 BLOOD GAS ANALYZER 10322347 manufactured by Siemens Healthcare Diagnostics.
[87738720]
The customer stated that repeat testing was performed to confirm correct results and a corrected report was issued. The data files have been requested for investigation. The cause of the event is unknown.
Patient Sequence No: 1, Text Type: N, H10
[87738721]
The customer reported discrepant elevated total hemoglobin results on the rp 405 when compared to a laboratory analyzer. There was no report of injury due to this event.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 3002637618-2017-00132 |
MDR Report Key | 6898712 |
Date Received | 2017-09-27 |
Date of Report | 2017-10-31 |
Date of Event | 2017-09-16 |
Date Mfgr Received | 2017-10-30 |
Date Added to Maude | 2017-09-27 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | STEVEN ANDBERG |
Manufacturer Street | 2 EDGEWATER DRIVE |
Manufacturer City | NORWOOD MA 02062 |
Manufacturer Country | US |
Manufacturer Postal | 02062 |
Manufacturer Phone | 7812693655 |
Manufacturer G1 | SIEMENS HEALTHCARE DIAGNOSTICS MANUFACTURING, LTD. |
Manufacturer Street | NORTHERN ROAD CHILTON INDUSTRIAL ESTATE |
Manufacturer City | SUDBURY, CO102XQ |
Manufacturer Country | UK |
Manufacturer Postal Code | CO10 2XQ |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 0 |
Brand Name | RAPIDPOINT 405 BLOOD GAS ANALYZER |
Generic Name | RP 405 |
Product Code | GKF |
Date Received | 2017-09-27 |
Catalog Number | 10322347 |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 0 |
Device Event Key | 0 |
Manufacturer | SIEMENS HEALTHCARE DIAGNOSTICS |
Manufacturer Address | 511 BENEDICT AVENUE TARRYTOWN NY 10591 US 10591 |
Brand Name | RAPIDPOINT 405 BLOOD GAS ANALYZER |
Generic Name | RP 405 |
Product Code | CHL |
Date Received | 2017-09-27 |
Catalog Number | 10322347 |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Age | DA |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | SIEMENS HEALTHCARE DIAGNOSTICS |
Manufacturer Address | 511 BENEDICT AVENUE TARRYTOWN NY 10591 US 10591 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2017-09-27 |