FDA Adverse Event Malfunction Summary report: N

STRATUS CS STAT FLUOROMETRIC ANALYZER

MDR report key: 1030271 · Received April 15, 2008

Report

Report Number
2517506-2008-00035
Event Type
Malfunction
Date Received
April 15, 2008
Date of Event
March 15, 2008
Report Date
March 17, 2008
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS, INC.
Product Code
MMI
PMA / PMN Number
K051650
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED. ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THAT THE CAUSE FOR THE FALSELY ELEVATED TROPONIN I RESULT WAS HETEROPHILIC ANTIBODY. THE IFU FOR STRATUS CS CCTIN TESTPAK CONTAINS THE FOLLOWING INFORMATION: "PATIENT SAMPLES MAY CONTAIN HETEROPHILIC ANTIBODIES THAT COULD REACT IN IMMUNOASSAYS TO GIVE FALSELY ELEVATED OR DEPRESSED RESULTS. THIS ASSAY HAS BEEN DESIGNED TO MINIMIZE INTERFERENCE FROM HETEROPHILIC ANTIBODIES. NEVERTHELESS, COMPLETE ELIMINATION OF THIS INTERFERENCE CANNOT BE GUARANTEED. A TEST RESULT THAT IS INCONSISTENT WITH THE CLINICAL PICTURE AND PATIENT HISTORY SHOULD BE INTERPRETED WITH CAUTION." THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS.

Description of Event or Problem · 1

A FALSELY ELEVATED TROPONIN I RESULT OF 1.74 NG/ML WAS OBTAINED ON A PATIENT SAMPLE. THE RESULT WAS REPORTED TO THE PHYSICIAN WHO QUESTIONED THE RESULT. THE ORIGINAL SAMPLE WAS RETESTED ON ALTERNATE METHODOLOGY AND A RESULT OF 0.00 NG/ML WAS OBTAINED. PATIENT TREATMENT WAS NOT PRESCRIBED OR ALTERED AN THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES AS A RESULT OF THE FALSELY ELEVATED TROPONIN I RESULT. ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THE CAUSE FOR THE FALSELY ELEVATED TROPONIN I RESULT WAS HETEROPHILIC ANTIBODY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRATUS CS STAT FLUOROMETRIC ANALYZER ACUTE CARE TROPONIN I TEST PAK MMI SIEMENS HEALTHCARE DIAGNOSTICS, INC. NA 238021002

Patients

Seq Age Sex Outcome Treatment
1