inforMED
MalfunctionJIL

CLINITEK STATUS+ USA

Received Oct 18, 2021 · Event occurred Sep 29, 2021

Report 3002637618-2021-00062 · MDR key 12647474

Device

Generic name

Clinitek Status+

Model number

10379675

Catalog number

10379675

Product problems

  • Smoking
  • Smoking

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

SIEMENS SHOWED DUE DILIGENCE IN ATTEMPTING TO OBTAIN A RETURN OF THE AFFECTED INSTRUMENT. THE CUSTOMER DID NOT USE THE SHIPPING LABEL THAT WAS PROVIDED AND THE DEVICE WAS NOT RECEIVED FOR INVESTIGATION. WITHOUT THE RETURNED INSTRUMENT, THE INVESTIGATION CANNOT PROCEED AND THEREFORE THE ROOT CAUSE CANNOT BE DETERMINED.

Additional Manufacturer Narrative

A REPLACEMENT CLINITEK STATUS+ HAS BEEN DELIVERED TO THE CUSTOMER. SIEMENS HAS REQUESTED THE OLD INSTRUMENT TO BE SENT BACK FOR INVESTIGATION. THE CAUSE OF THIS EVENT IS UNKNOWN.

Description of Event or Problem

THE CUSTOMER REPORTED THAT THEIR CLINITEK STATUS+ SPARKED, AND SMOKE WAS EMITTED FROM THE FRONT OF THE DEVICE. THE ORIGINAL POWER CORD WAS IN USE AT THE TIME. THERE IS NO REPORT OF ANY INJURY TO ANY PATIENT OR OPERATOR DUE TO THIS EVENT.

Remedial action

  • Replace