CLINITEK ATLAS 10309477

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2019-04-12 for CLINITEK ATLAS 10309477 manufactured by Siemens Healthcare Diagnostics.

Event Text Entries

[141781441] Siemens service went on site and resolved the issue. The rotary receiver assembly, preamp pcb and readhead were replaced. The optics were checked and the system was calibrated. Qc and patient samples were run. The instrument was deemed fully operational on departure.
Patient Sequence No: 1, Text Type: N, H10


[141781442] The customer reported false negative leukocyte results on the clinitek atlas when compared to the microscopic examination of the sediment. There was no report of injury due to this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002637618-2019-00041
MDR Report Key8509406
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2019-04-12
Date of Report2019-04-12
Date of Event2019-03-16
Date Mfgr Received2019-03-20
Date Added to Maude2019-04-12
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 ContactTIM KRAUSKOPF
Manufacturer Street2 EDGEWATER DRIVE
Manufacturer CityNORWOOD MA 02062
Manufacturer CountryUS
Manufacturer Postal02062
Manufacturer Phone8622285388
Manufacturer G1SPARTAN MEDICAL
Manufacturer Street22740 LUNN ROAD
Manufacturer CityCLEVELAND OH 44149
Manufacturer CountryUS
Manufacturer Postal Code44149
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCLINITEK ATLAS
Generic NameCLINITEK ATLAS
Product CodeKQO
Date Received2019-04-12
Catalog Number10309477
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer Address511 BENEDICT AVENUE TARRYTOWN NY 10591 US 10591


Patients

Patient NumberTreatmentOutcomeDate
10 2019-04-12

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