ADVIA 2400

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 2017-03-10 for ADVIA 2400 manufactured by Siemens Healthcare Diagnostics Inc..

Event Text Entries

[69754459] The customer contacted a siemens customer care center and stated that their quality controls were out of range. The customer performed calibration and reran quality controls, which were acceptable. The customer also determined that the patient results were elevated when quality controls were elevated and low when quality controls were low. The water purification system attached to the advia 2400 instrument uses a glycerol based lubricant to fit in the reverse osmosis membranes, which contaminated the water causing trig_2c to be discordant. When the customer performed calibration, the quality controls factored in and came back to normal. The water purification company was contacted by the customer to resolve the issue. The cause of the discordant tric_2c results on multiple patient samples was due to the contamination of water purification system. The instrument is performing within manufacturing specifications. No further evaluation of device is required.
Patient Sequence No: 1, Text Type: N, H10


[69754460] The customer obtained discordant concentrated triglyceride (trig_2c) results on multiple patient samples on an advia 2400 instrument. It is unknown if the discordant results were repeated or reported to the physician(s). Some of the samples were discarded by the sample storage module and therefore no samples were available for repeat testing. It is unknown if new samples were obtained for those patients and if repeat results were reported to the physician(s). The customer did not provide data. There are no reports of any impact on patient intervention or adverse health consequences due to the discordant trig_2c results.
Patient Sequence No: 1, Text Type: D, B5


[74804390] The initial mdr 2432235-2017-00184 was filed on march 10, 2017. Corrected information (4/24/2017): initial results on elevated patient results for trig_2 concentrated had been provided by the customer.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2432235-2017-00184
MDR Report Key6395141
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2017-03-10
Date of Report2017-04-26
Date of Event2017-02-10
Date Mfgr Received2017-04-24
Date Added to Maude2017-03-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactAARTI AZIZ
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145242683
Manufacturer G1JEOL LTD
Manufacturer StreetREGISTRATION #: 3003637681 3-1-2 MUSASHINO AKISHIMA
Manufacturer CityTOKYO
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameADVIA 2400
Generic NameADVIA 2400
Product CodeJGY
Date Received2017-03-10
Model NumberADVIA 2400
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC.
Manufacturer Address511 BENEDICT AVE TARRYTOWN NY 10591 US 10591

Device Sequence Number: 1

Brand NameADVIA 2400
Generic NameADVIA 2400
Product CodeJJE
Date Received2017-03-10
Model NumberADVIA 2400
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC.
Manufacturer Address511 BENEDICT AVE TARRYTOWN NY 10591 US 10591


Patients

Patient NumberTreatmentOutcomeDate
10 2017-03-10

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