inforMED
MalfunctionCFN

BN II / BN PROSPEC® SYSTEM

Received Nov 2, 2016 · Event occurred Sep 1, 2016

Report 9610806-2016-00030 · MDR key 6072324

Device

Generic name

N Antisera To Human Immunoglobulins (igg, Iga And Igm)

Catalog number

OSAR

Lot number

153022D

Product problems

  • High Test Results
  • High Test Results

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THE CAUSE OF THE FALSELY ELEVATED IGG RESULTS IS UNKNOWN. SIEMENS HEALTHCARE HEADQUARTERS SUPPORT CENTER AND TECHNICAL SUPPORT LABORATORY REPRESENTATIVES EVALUATED THE DATA AVAILABLE. NO SYSTEMIC INSTRUMENT OR REAGENT ISSUES WERE IDENTIFIED. THE DEVICE IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem

FALSELY ELEVATED IMMUNOGLOBULIN G (IGG) RESULTS WERE OBTAINED ON TWO PATIENT SAMPLES ON THE BEHRING NEPHELOMETER II (BN-II) INSTRUMENT. THE PATIENT RESULTS WERE NOT REPORTED TO THE PHYSICIAN BECAUSE THE VALUES EXCEEDED THE SUM OF THE IGG SUBCLASS DETERMINATIONS. THE REPEAT TEST OF THE SAME SAMPLES ON AN ALTERNATE BNII INSTRUMENT GAVE LOWER RESULTS CONSISTENT WITH THE SUM OF THE SUBCLASSES. THE REPEATED RESULTS WERE REPORTED TO THE PHYSICIAN. THERE IS NO INDICATION OF ADVERSE IMPACT TO THE PATIENTS DUE TO THE FALSELY ELEVATED IGG RESULTS, WHICH WERE NOT REPORTED TO THE PHYSICIAN.