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 2019-02-12 for N LATEX FLC LAMBDA 10482438 manufactured by Siemens Healthcare Diagnostics Products Gmbh.

Event Text Entries

[139066784] The customer contacted a siemens customer care center and reported that a discordant free light chains (flc), type lambda (flc lambda) result was obtained on a patient sample on a bn prospec system. The customer previously contacted siemens regarding discordant flc lambda results obtained for this patient and mdrs 9610806-2019-00006 and 9610806-2019-00007 were filed for the discordant results previously obtained on the other samples from this patient. Siemens previously determined that there was no indication of a system malfunction and that the cause of the discordant flc lambda results was sample specific, but the customer did not have the sample for further investigation. The customer provided the affected sample for further investigation; siemens further investigated the issue and a study was performed on the affected sample. The sample was tested for flc lambda on a bn prospec system using the same reagent, and the flc lambda result confirmed the elevated recovery observed by the customer. Analysis of the sample portrayed that the flc lambda determinations were correctly evaluated by the bn prospec system; flc lambda concentration was present in a large protein complex in the sample. The system is performing according to specifications. No further evaluation of this device is required. Mdr 9610806-2019-00009 was filed for the elevated flc lambda result obtained on the week of 28-jan-2019 on another sample from the patient. Supplemental mdrs 9610806-2019-00006_s2 and 9610806-2019-00007_s2 were filed for the same issue.
Patient Sequence No: 1, Text Type: N, H10


[139066785] A discordant, falsely elevated free light chains (flc), type lambda (flc lambda) result was obtained on a patient sample on a bn prospec system. The discordant result was not reported to the physician(s). The sample was also tested for flc lambda using a non-siemens method and the customer reported that a negative flc lambda result was obtained using the non-siemens method. The customer reported the negative flc lambda result to the physician(s). There are no known reports of patient intervention or adverse health consequences due to the discordant, falsely elevated flc lambda result.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610806-2019-00008
MDR Report Key8331431
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2019-02-12
Date of Report2019-07-17
Date of Event2019-01-14
Date Mfgr Received2019-06-21
Date Added to Maude2019-02-12
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 Received2019-02-12
Model NumberN LATEX FLC LAMBDA
Catalog Number10482438
Lot Number473242
Device Expiration Date2019-05-15
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 2019-02-12

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