MAUDE MDR 6954179

MDR report key
6954179
Report number
1823260-2017-02345
Event key
0
Event type
3
Date of event
2017-09-29
Date received
2017-10-17
Adverse event
0
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
NA MICHAEL LESLIE
Address
9115 HAGUE ROAD NA INDIANAPOLIS IN 46250 US
Phone
317-317-3175
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
0COBAS 6000 CORE UNITCLINICAL CHEMISTRY ANALYZERROCHE DIAGNOSTICSMQMCOBAS 6000 COREASKUNAR Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12017-10-170

Event Narratives#

N

Patient 1

(B)(4). THE EVENT OCCURRED IN (B)(6).

D

Patient 1

THE CUSTOMER COMPLAINED OF A DISCREPANT BILT3 BILIRUBIN TOTAL GEN.3 (BILT3) RESULT ON ONE NEONATE PATIENT. THE INITIAL BILT3 RESULT WAS 508.5 ?MOL/L. THE PATIENT HAD PHOTOTHERAPY ALONG WITH A GLUCOSE INFUSION STARTED BASED ON THIS INITIAL RESULT. THE PHYSICIAN DID NOT BELIEVE THE INITIAL RESULT AND REQUESTED THE SAMPLE TO BE RETESTED ALONG WITH HAVING ANOTHER BLOOD SAMPLE DRAWN. THE REPEAT BILT3 RESULT FROM THE ORIGINAL SAMPLE WAS 290 ?MOL/L. THE REDRAW SAMPLE ALSO HAD A BILT3 RESULT OF