Dimension® Flex® reagent cartridge TBI 10444957Recalls & reported problems
Siemens Healthcare Diagnostics Inc. · Total Bilirubin Flex® reagent cartridge, 480 tests · Class 2
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 4
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 2
Summary
The FDA's MAUDE database contains 4 adverse event reports that list this exact device (DI 00842768020544), received between Oct 17, 2018 and Apr 18, 2025 — classified as 4 malfunctions.
The most frequently reported specific device problem is “Low Test Results” (4 reports).
2 FDA recall records name this device's identifier.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.
Reports received per month
Recalls naming this device
- Feb 13, 2020Class IITerminated
Bilirubin assays may exhibit a positive bias with patients on eltrombopag therapy
Z-1541-2020 · Root cause: Under Investigation by firm · Recall details · FDA record ↗
- Feb 13, 2020Class IITerminated
Bilirubin assays may exhibit a positive bias with patients on eltrombopag therapy
Z-1540-2020 · Root cause: Under Investigation by firm · Recall details · FDA record ↗
Most reported problems
Device problems
- Low Test Results4
- High Test Results1
Patient problems
- No Clinical Signs, Symptoms or Conditions2
- No Consequences Or Impact To Patient2
Recent adverse event reports
The 4 most recent of 4 reports, in the reporter's own words as published by the FDA.
MalfunctionApr 18, 2025Low Test Results; Low Test Results
THE CUSTOMER REPORTED TO SIEMENS THAT ERRONEOUSLY DEPRESSED TOTAL BILIRUBIN (TBI) RESULTS WERE OBTAINED ON THREE (3) PATIENT SAMPLES ON A DIMENSION EXL 200 INTEGRATED CHEMISTRY SYSTEM. THE ERRONEOUSLY DEPRESSED RESULTS WERE REPORTED TO THE PHYSICIAN(S), AND THE RESULTS WERE QUESTIONED. THE SAME SAMPLES WERE REPROCESSED USING ANOTHER REAGENT LOT ON THE ORIGINAL DIMENSION EXL 200 INTEGRATED CHEMISTRY SYSTEM. THE REPROCESSED RESULTS RECOVERED HIGHER THAN THE ERRONEOUSLY DEPRESSED RESULTS AND WERE CONSIDERED CORRECT. CORRECTED REPORTS WERE ISSUED. THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE ERRONEOUSLY DEPRESSED TOTAL BILIRUBIN (TBI) RESULTS.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21863569 ↗MalfunctionMay 25, 2022Low Test Results; Low Test Results
DISCORDANT FALSELY DEPRESSED TOTAL BILIRUBIN (TBI) PATIENT SAMPLE RESULTS WERE OBTAINED ON A DIMENSION EXL 200 SYSTEM. THE RESULTS WERE REPORTED TO THE PHYSICIAN(S) WHO QUESTIONED THE RESULTS. THE SAME SAMPLES WERE REPROCESSED ON THE SAME INSTRUMENT AND HIGHER RESULTS WERE OBTAINED. CORRECTED REPORTS ISSUED FOR SOME SAMPLES. THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT FALSELY DEPRESSED TBI RESULTS.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 14500038 ↗MalfunctionFeb 7, 2019Low Test Results; Low Test Results
A DISCORDANT DEPRESSED TOTAL BILIRUBIN (TBI) RESULT WAS OBTAINED ON A NEONATE PATIENT SAMPLE ON THE DIMENSION EXL SYSTEM. THE RESULT WAS REPORTED TO THE PHYSICIAN WHO QUESTIONED THE RESULT. A NEW SAMPLE WAS DRAWN AND PROCESSED AND A HIGHER RESULT WAS OBTAINED. THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT TBI RESULT. NO CORRECTED REPORTED WAS ISSUED.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 8317404 ↗MalfunctionOct 17, 2018High Test Results; Low Test Results; High Test Results; Low Test Results
DISCORDANT, FALSELY DEPRESSED AND DISCORDANT FALSELY ELEVATED TOTAL BILIRUBIN (TBI) RESULTS WERE OBTAINED ON A PATIENT SAMPLE ON THE DIMENSION EXL SYSTEM. THE DISCORDANT RESULTS WERE NOT REPORTED TO THE PHYSICIAN. THE SAME SAMPLES WERE REPROCESSED THE SAME DAY AND A CORRECT RESULT WAS OBTAINED. THE CORRECT RESULT WAS REPORTED TO THE PHYSICIAN. THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT, FALSELY DEPRESSED AND FALSELY ELEVATED TBI RESULTS.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 7975101 ↗
Other DIAZO COLORIMETRY, BILIRUBIN devices
- Dimension Vista® Flex® reagent cartridge TBIL 10445146Siemens Healthcare Diagnostics Inc. · DIAZO COLORIMETRY, BILIRUBIN1 recall7 reports
- VITROS 8383051Ortho-Clinical Diagnostics, Inc. · DIAZO COLORIMETRY, BILIRUBIN1 recall5 reports
- VITROS 1612365Ortho-Clinical Diagnostics, Inc. · DIAZO COLORIMETRY, BILIRUBIN1 recall1 report
- ARCHITECT 6L45-21Abbott Laboratories · DIAZO COLORIMETRY, BILIRUBIN46 reports
- ARCHITECT 6L45-22Abbott GmbH · DIAZO COLORIMETRY, BILIRUBIN30 reports
- ARCHITECT 6L45-41Abbott Laboratories · DIAZO COLORIMETRY, BILIRUBIN18 reports
- Bilirubin Direct Gen.2 08056951190Roche Diagnostics GmbH · DIAZO COLORIMETRY, BILIRUBIN17 reports
- Bilirubin Total Gen3 5795397190Roche Diagnostics GmbH · DIAZO COLORIMETRY, BILIRUBIN16 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026 · each recall links to the FDA recall notice
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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