DIMENSION VISTA? DIMENSION VISTA 1500 INTERNATIONAL 10444802

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 2016-11-02 for DIMENSION VISTA? DIMENSION VISTA 1500 INTERNATIONAL 10444802 manufactured by Siemens Healthcare Diagnostics Inc- Brookfield.

Event Text Entries

[59046803] Analysis of the instrument data provided indicates that the cause for the falsely depressed crp results is user error. The customer contacted the siemens customer care center to discuss the issue. The customer complained that qc and patient results for crp were 1/10th of the expected crp concentrations. For an unknown reason, on 2016-07-21, the method was calibrated by using the prot2 cal calibrator (lot: 5mc001) with calibrator concentrations 1/10th of the than expected values. From that calibration all qc and patient samples run until 2016-09-20, a total of 2364 patient results, were reported with a falsely low concentrations of 1/10th the correct value. Once they have realized their error, the results have been corrected. Siemens completed an investigation of the incident and concluded it to be a user error. The bottle value for the calibrator was manually changed by the user from 2. 12 from to 0. 212 mg/dl, resulting in the lower than expected results. The instrument is performing within specifications. No further evaluation of the device is required.
Patient Sequence No: 1, Text Type: N, H10


[59046804] Falsely depressed c-reactive protein (crp) results were obtained on qc and patient samples on the dimension vista 1500 instrument. A total of 2,364 patient results were reported to physicians during a period from 2016-07-21 through 2016-09-20 during which a user error during method calibration had impacted results. Patient results were questioned by physicians. The account repeated samples after the error was corrected. Corrected results were reported. There is no indication that patient treatment was altered or prescribed on the basis of the falsely depressed crp results. There was no report of adverse health consequences as a result of the falsely depressed crp results.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2517506-2016-00406
MDR Report Key6074653
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2016-11-02
Date of Report2016-11-02
Date of Event2016-07-21
Date Mfgr Received2016-10-10
Device Manufacturer Date2010-11-16
Date Added to Maude2016-11-02
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 ContactJAMES MORGERA
Manufacturer StreetGLASGOW BUSINESS COMMUNITY PO BOX 6101
Manufacturer CityNEWARK DE 197146101
Manufacturer CountryUS
Manufacturer Postal197146101
Manufacturer Phone3026318356
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS INC- BROOKFIELD
Manufacturer StreetREGISTRATION NUMBER 1336181 101 SILVERMINE ROAD
Manufacturer CityBROOKFIELD CT 06804
Manufacturer CountryUS
Manufacturer Postal Code06804
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameDIMENSION VISTA?
Generic NameDIMENSION VISTA? 1500 SYSTEM
Product CodeDCN
Date Received2016-11-02
Model NumberDIMENSION VISTA 1500 INTERNATIONAL
Catalog Number10444802
OperatorSERVICE PERSONNEL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC- BROOKFIELD
Manufacturer AddressREGISTRATION NUMBER 1336181 101 SILVERMINE ROAD BROOKFIELD CT 06804 US 06804

Device Sequence Number: 1

Brand NameDIMENSION VISTA?
Generic NameDIMENSION VISTA? 1500 SYSTEM
Product CodeJJE
Date Received2016-11-02
Model NumberDIMENSION VISTA 1500 INTERNATIONAL
Catalog Number10444802
OperatorSERVICE PERSONNEL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC- BROOKFIELD
Manufacturer AddressREGISTRATION NUMBER 1336181 101 SILVERMINE ROAD BROOKFIELD CT 06804 US 06804


Patients

Patient NumberTreatmentOutcomeDate
10 2016-11-02

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