FDA Adverse Event Other Summary report: N

ADVIA CENTAUR

MDR report key: 1112166 · Received August 5, 2008

Report

Report Number
2432235-2008-00082
Event Type
Other
Date Received
August 5, 2008
Date of Event
June 5, 2008
Report Date
June 5, 2008
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
MMI
PMA / PMN Number
K971418
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS HEALTHCARE FIELD SERVICE ENGINEER (FSE) WAS SENT TO THE SITE. ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THAT THE CAUSE FOR THE DISCORDANT RESULT WAS DUE TO THE WASH 1 SENSOR BEING OUT OF CALIBRATION. THE INSTRUMENT HAS BEEN REPAIRED. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A POSITIVE ADVIA CENTAUR TROPONIN ULTRA PATIENT RESULT WAS REPORTED TO THE EMERGENCY ROOM PHYSICIAN. UPON RE-TEST ON THE SAME INSTRUMENT, THE TROPONIN RESULT WAS STILL POSITIVE. THE SAME SAMPLE WAS RE-TESTED ON A DIFFERENT INSTRUMENT AND THE TROPONIN RESULT WAS NEGATIVE. PATIENT TREATMENT WAS NOT PRESCRIBED OR ALTERED. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT TROPONIN RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR IMMUNO-ASSAY ANALYZER MMI SIEMENS HEALTHCARE DIAGNOSTICS INC. N/A N/A

Patients

Seq Age Sex Outcome Treatment
1