BN PROSPEC SYSTEM 10465217

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 2018-02-15 for BN PROSPEC SYSTEM 10465217 manufactured by Siemens Healthcare Diagnostics Products Gmbh.

Event Text Entries

[100443583] A siemens healthcare diagnostics (siemens) headquarters support center (hsc) specialist analyzed the calibration data and the patient results to determine the cause of the discordant, falsely low results on multiple assays on the bn prospec system. The hsc specialist determined that all assays were calibrated and the calibration curves recovered as expected. Since the affected bn prospec system save data files were not provided for further evaluation, the cause of the event is unknown. The repeat results were obtained using the same reagent lots and system as the initial results. Due to this, the hsc specialist determined that the system and reagents are performing according to specifications. No further evaluation of this system is required.
Patient Sequence No: 1, Text Type: N, H10


[100443584] Discordant, falsely low immunoglobulin g (igg), immunoglobulin a (iga), immunoglobulin m (igm), and bound and free lambda type of human immunoglobulin light chains (ig/l chain, type lambda) results were obtained on a patient serum sample on the bn prospec system. The sample was also tested for bound and free kappa type of human immunoglobulin light chains (ig/l chain, type kappa), resulting within expected ranges. All these results were reported to the physician, who questioned the discordant, falsely low results. The same sample was rerun for igg, ig/l chain, type lambda, and ig/l chain, type kappa on the same system. Other low discordant results were obtained for igg and ig/l chain, type lambda. Upon repeat, discordant, falsely low ig/l chain, type kappa results were obtained at 1:20 dilution on the patient sample. On (b)(6) 2018, the same patient sample was retested for all parameters, except ig/l chain, type kappa, on the same system, resulting higher than the initial results. These results were more plausible for this patient and were reported to the physician(s). There are no known reports of patient intervention or adverse health consequences due to the discordant, falsely low results obtained on the patient sample.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610806-2018-00026
MDR Report Key7275386
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2018-02-15
Date of Report2018-02-15
Date of Event2018-01-11
Date Mfgr Received2018-01-22
Date Added to Maude2018-02-15
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 ContactCHRISTINA LAM
Manufacturer Street511 BENEDICT AVE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145243504
Manufacturer G1BIT ANALYTICAL INSTRUMENTS GMBH
Manufacturer StreetAM KRONBERGER HANG 3 REGISTRATION NUMBER:3003601075
Manufacturer CitySCHWALBACH, 65824
Manufacturer CountryGM
Manufacturer Postal Code65824
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBN PROSPEC SYSTEM
Generic NameBN PROSPEC SYSTEM
Product CodeJZW
Date Received2018-02-15
Model NumberBN PROSPEC SYSTEM
Catalog Number10465217
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBH
Manufacturer AddressEMIL-VON-BEHRING- STR. 76 MARBURG, D-35041 GM D-35041


Patients

Patient NumberTreatmentOutcomeDate
10 2018-02-15

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