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 2019-03-07 for BN PROSPEC SYSTEM 10465217 manufactured by Siemens Healthcare Diagnostics Products Gmbh.
[139419565]
The customer contacted a siemens customer care center and reported that an elevated 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 elevated flc lambda results obtained for this patient and mdrs 9610806-2019-00006, 9610806-2019-00007, 9610806-2019-00008, and 9610806-2019-00009 were filed for the elevated flc lambda results previously obtained on the other samples from this patient. Siemens previously determined that the cause of the elevated flc lambda results was sample specific. On 01/14/2019, the customer sent a sample from the patient for further investigation; siemens further investigated the issue and a study was performed on the affected sample. The sample was tested 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. Mdrs 9610806-2019-00006_s3, 9610806-2019-00007_s3, 9610806-2019-00008_s1, and 9610806-2019-00009_s1, 9610806-2019-00011, 9610806-2019-00012, and 9610806-2019-00013 were filed for the same issue.
Patient Sequence No: 1, Text Type: N, H10
[139419566]
An elevated free light chains (flc), type lambda (flc lambda) result was obtained on a patient sample on a bn prospec system. It is unknown if the elevated result was reported to the physician(s) and it is unknown if the sample was repeated. The customer reported that when samples from this patient were tested using a non-siemens methodology, the flc lambda results recovered within normal ranges. There are no known reports of patient intervention or adverse health consequences due to the elevated flc lambda result.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9610806-2019-00014 |
| MDR Report Key | 8399209 |
| Report Source | FOREIGN,HEALTH PROFESSIONAL,U |
| Date Received | 2019-03-07 |
| Date of Report | 2019-07-17 |
| Date of Event | 2019-02-04 |
| Date Mfgr Received | 2019-06-21 |
| Date Added to Maude | 2019-03-07 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | CHRISTINA LAM |
| Manufacturer Street | 511 BENEDICT AVE |
| Manufacturer City | TARRYTOWN NY 10591 |
| Manufacturer Country | US |
| Manufacturer Postal | 10591 |
| Manufacturer Phone | 9145243504 |
| Manufacturer G1 | SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBH |
| Manufacturer Street | EMIL-VON-BEHRING-STR. 76 REGISTRATION NUMBER:3003601075 |
| Manufacturer City | MARBURG, D-35041 |
| Manufacturer Country | GM |
| Manufacturer Postal Code | D-35041 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | BN PROSPEC SYSTEM |
| Generic Name | BN PROSPEC SYSTEM |
| Product Code | JZW |
| Date Received | 2019-03-07 |
| Model Number | BN PROSPEC SYSTEM |
| Catalog Number | 10465217 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBH |
| Manufacturer Address | EMIL-VON-BEHRING- STR. 76 MARBURG, D-35041 GM D-35041 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-03-07 |