FDA Adverse Event Other Summary report: N

ADVIA CENTAUR

MDR report key: 1082573 · Received July 21, 2008

Report

Report Number
2432235-2008-00083
Event Type
Other
Date Received
July 21, 2008
Date of Event
May 28, 2008
Report Date
June 11, 2008
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
JJE
PMA / PMN Number
K971418
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER WAS SENT TO THE CUSTOMER SITE WHEN SIEMENS WAS NOTIFIED OF THE EVENT. THE FIELD SERVICE ENGINEER WAS UNABLE TO DETERMINE THE CAUSE OF THE DISCORDANT RESULT, DUE TO THE CUSTOMER REPORTING THE EVENT TWO WEEKS AFTER THE DATE THAT THE EVENT OCCURRED. THE INSTRUMENT PERFORMING AS SPECIFIED. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A DISCORDANT RESULT WAS OBTAINED FOR TROPONIN ON ONE PATIENT SAMPLE. THE DISCORDANT RESULT WAS REPORTED TO THE PHYSICIAN. PATIENT TREATMENT WAS NOT ALTERED DUE TO THE DISCORDANT TROPONIN RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR IMMUNO-ASSAY ANALYZER JJE SIEMENS HEALTHCARE DIAGNOSTICS INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1