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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SIEMENS HEALTHCARE DIAGNOSTICS RAPIDLAB 1265 BLOOD GAS ANALYZER; RL 1265

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SIEMENS HEALTHCARE DIAGNOSTICS RAPIDLAB 1265 BLOOD GAS ANALYZER; RL 1265 Back to Search Results
Catalog Number 10321852
Device Problem Incorrect, Inadequate or Imprecise Result or Readings (1535)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 02/08/2018
Event Type  malfunction  
Manufacturer Narrative
The customer stated that repeat testing was performed to confirm correct results and a corrected report was issued.Siemens has requested the data files to investigate this event.The cause for this event is unknown.
 
Event Description
The customer reported discrepant total hemoglobin results on three different rl 1265 analyzers and another siemens lab analyzer.There was no report of injury due to this event.
 
Manufacturer Narrative
Siemens investigator states that many files have been provided and uploaded, however they are either from a day other than the day of the event or the file shows as being only 1kb.Also, the investigator states from the minimal information available in the.Csv files, there was no indication that the thb result in question was flagged for any co-ox errors.Unfortunately there is not sufficient/pertinent data for r&d to review to provide a root cause of this discrepancy.Proper sampling and thorough mixing is very important for accurate thb results.To appropriately mix red blood cells, whole blood specimens need to be mixed in several planes (rolling back-and-forth and circular top-over-bottom and/or figure-8 style).
 
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Brand Name
RAPIDLAB 1265 BLOOD GAS ANALYZER
Type of Device
RL 1265
Manufacturer (Section D)
SIEMENS HEALTHCARE DIAGNOSTICS
511 benedict avenue
tarrytown NY 10591
MDR Report Key7314004
MDR Text Key101721381
Report Number3002637618-2018-00020
Device Sequence Number0
Product Code GKR
Combination Product (y/n)N
PMA/PMN Number
K073537
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,user f
Type of Report Initial,Followup
Report Date 05/29/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/05/2018
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number10321852
Was Device Available for Evaluation? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received05/29/2018
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Age51 YR
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