FDA Adverse Event Other Summary report: N

ADVIA CENTAUR

MDR report key: 1122363 · Received August 14, 2008

Report

Report Number
2432235-2008-00090
Event Type
Other
Date Received
August 14, 2008
Date of Event
May 30, 2008
Report Date
June 2, 2008
Manufacturer
SIEMENS MEDICAL SOLUTIONS DIAGNOSTICS INC.
Product Code
MMI
PMA / PMN Number
K971418
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, 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 RESULTS WAS DUE TO IMPROPER PRIMING OF THE WASH 1 FLUID BY THE CUSTOMER. THIS CAUSED THE WASH 1 RESERVOIR TO GO DRY CAUSING INSUFFICIENT WASHING OF THE SAMPLE CUVETTES. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

SEVERAL ELEVATED ADVIA CENTAUR BNP AND TROPONIN ULTRA RESULTS WERE OBTAINED ON PATIENT SAMPLES. THESE RESULTS WERE NOT REPORTED TO THE PHYSICIAN. QC SAMPLES WERE REPEATED AND OUT OF RANGE. PATIENT TREATMENT WAS NOT PRESCRIBED OR ALTERED. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT TROPONIN AND BNP RESULTS.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1