FDA Adverse Event Malfunction Summary report: N

STRATUS CS STAT FLUOROMETRIC ANALYZER

MDR report key: 1052141 · Received May 16, 2008

Report

Report Number
2517506-2008-00043
Event Type
Malfunction
Date Received
May 16, 2008
Date of Event
April 22, 2008
Report Date
April 22, 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
NE, 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 CCTNI TESTPAK CONTAINS THE FOLLOWING INFO: "PT 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 PT 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 1.25 NG/ML WAS OBTAINED ON A PT SAMPLE. THE RESULT WAS REPORTED TO THE PHYSICIAN WHO QUESTIONED THE RESULT. THE ORIGINAL SAMPLE WAS RETESTED ON ALTERNATE METHODOLOGY AND A NEGATIVE RESULT WAS OBTAINED. PT TREATMENT WAS NOT PRESCRIBED OR ALTERED AND 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 THAT 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 238070002

Patients

Seq Age Sex Outcome Treatment
1