N LATEX FLC LAMBDA 10482438

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 2018-07-27 for N LATEX FLC LAMBDA 10482438 manufactured by Siemens Healthcare Diagnostics Products Gmbh.

Event Text Entries

[115529232] The exact date when the customer obtained the discordant, falsely low flc lambda result in (b)(6) of 2018 is unknown; date of event was left blank due to the unknown date. Siemens is investigating the issue. Mdr 9610806-2018-00078 was filed for the discordant result mentioned that was obtained on (b)(6) 2018. Mdr 9610806-2018-00079 was filed for the discordant result mentioned that was obtained on (b)(6) 2018.
Patient Sequence No: 1, Text Type: N, H10


[115529233] The customer reported that they obtained a discordant, falsely low free light chains (flc), type lambda (flc lambda) result on a patient sample on a bn ii system in april of 2018. The customer reported that higher results were obtained on other samples from the patient at alternate laboratories. The customer did not provide further details nor the discordant result obtained in april. There are no known reports of patient intervention or adverse health consequences due to the discordant, falsely low flc lambda result.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610806-2018-00077
MDR Report Key7726160
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2018-07-27
Date of Report2018-08-28
Date Mfgr Received2018-07-27
Date Added to Maude2018-07-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 G1SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBH
Manufacturer StreetEMIL-VON-BEHRING- STR. 76 REGISTRATION NUMBER:3003601075
Manufacturer CityMARBURG, D-35041
Manufacturer CountryGM
Manufacturer Postal CodeD-35041
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameN LATEX FLC LAMBDA
Generic NameN LATEX FLC LAMBDA
Product CodeDEH
Date Received2018-07-27
Model NumberN LATEX FLC LAMBDA
Catalog Number10482438
Lot Number473241
Device Expiration Date2018-11-09
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
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 2018-07-27

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