inforMED
MalfunctionJPE

BERICHROM ANTITHROMBIN III (A)

Received Oct 22, 2024 · Event occurred Oct 1, 2024

Report 9610806-2024-00043 · MDR key 20505976

Device

Generic name

Antithrombin Iii, Two Stage Clotting Time Assay

Model number

N/A

Catalog number

10446672

Lot number

02557

Product problems

  • Low Test Results
  • Low Test Results

Patient

15 MO · Female

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

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED A FALSELY DEPRESSED BERICHROM ANTITHROMBIN III (BERICHROM ATIII) RESULT THAT WAS OBTAINED ON A SYSMEX CS-5100 INSTRUMENT. THE INITIAL RESULT WAS REPORT TO AND QUESTIONED BY THE PHYSICIAN(S). THE SAMPLE WAS REPEATED ON THE INITIAL SYSMEX CS-5100 AND THE REPEAT RESULT WAS CONSIDERED CORRECT AND REPORTED TO THE PHYSICIAN(S). THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE FALSELY DEPRESSED BERICHROM ATIII RESULT.

Additional Manufacturer Narrative

AN OUTSIDE OF THE UNITED STATES (OUS) CUSTOMER CONTACTED THE SIEMENS CUSTOMER CARE CENTER TO REPORT A FALSELY DEPRESSED BERICHROM ATIII PATIENT RESULT ON A SYSMEX CS-5100 INSTRUMENT. SIEMENS EVALUATED THE ISSUE AND PROVIDED THE FOLLOWING CONCLUSION: BASED ON THE AVAILABLE INFORMATION, NO GENERAL SOFTWARE, ASSAY OR SYSTEM ISSUE COULD BE IDENTIFIED. THE ISSUE WAS RESOLVED BY ROUTINE TROUBLESHOOTING. SYSMEX CS-5100 BERICHROM ATIII IS PERFORMING AS INTENDED. A PRODUCT PERFORMANCE ISSUE HAS NOT BEEN IDENTIFIED. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.