MAUDE MDR 7361129

MDR report key
7361129
Report number
2517506-2018-00131
Event key
0
Event type
3
Date of event
2018-02-23
Date received
2018-03-22
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
JAMES MORGERA
Address
500 GBC DRIVE PO BOX 6101 NEWARK DE 19714 US
Phone
302-302-3026
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1DIMENSION?DIMENSION? LMMB MASS CREATINE KINASE MB ISOENZYME FLEX? REAGENT CARTRIDGESIEMENS HEALTHCARE DIAGNOSTICS INC.JHYRF520 SMN10444895FA8263N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-03-220

Event Narratives#

N

Patient 1

THE CUSTOMER CONTACTED THE SIEMENS CUSTOMER CARE CENTER FOR THE DISCORDANT, FALSELY ELEVATED LOW VOLUME MASS CREATININE KINASE (LMMB) RESULT ON A DIMENSION EXL INSTRUMENT. SIEMENS HEADQUARTERS SUPPORT CENTER (HSC) HAS COMPLETED THE INVESTIGATION OF THE INCIDENT. HSC EVALUATED THE DATA PROVIDED. NO INSTRUMENT ISSUES HAVE BEEN REPORTED OR IDENTIFIED. LMMB QC WAS WITHIN REFERENCE RANGES ON THE DATE OF THE INCIDENT. THIS EVENT IS LIMITED TO A SPECIFIC PATIENT SAMPLE. THE CAUSE OF THE DISCORDANT ELEVATED LMMB RESULT IS UNKNOWN. PER THE LMMB FLEX REAGENT CARTRIDGE INSTRUCTIONS FOR USE: "PATIENT SAMPLES MAY CONTAIN HETEROPHILIC ANTIBODIES THAT COULD REACT WITH IMMUNOASSAYS TO GIVE FALSELY ELEVATED OR DEPRESSED RESULTS. THIS ASSAY HAS BEEN DESIGNED TO MINIMIZE INTERFERENCE FROM HETEROPHILIC ANTIBODIES. NEVERTHELESS, COMPLETE ELIMINATION OF THIS INTERFERENCE FROM ALL PATIENT SPECIMENS CANNOT BE GUARANTEED. A TEST RESULT THAT IS INCONSISTENT WITH THE CLINICAL PICTURE AND PATIENT HISTORY SHOULD BE INTERPRETED WITH CAUTION." THE DEVICE IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

D

Patient 1

A DISCORDANT, FALSELY ELEVATED MASS CREATINE KINASE MB ISOENZYME (LMMB) WAS OBTAINED ON A PATIENT SERUM SAMPLE ON THE DIMENSION EXL INSTRUMENT. THE RESULT WAS REPORTED TO THE PHYSICIAN WHO QUESTIONED THE RESULT. THE SAME SAMPLE WAS SENT TO AN ALTERNATE LABORATORY FOR TESTING ON AN ALTERNATE NON-SIEMENS METHODOLOGY AND A LOWER RESULT WAS OBTAINED. A CORRECTED RESULT WAS ISSUED. THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT, FALSELY ELEVATED LMMB RESULT.