FDA Adverse Event Other Summary report: N

ADVIA CENTAUR

MDR report key: 1221835 · Received November 4, 2008

Report

Report Number
2432235-2008-00129
Event Type
Other
Date Received
November 4, 2008
Date of Event
October 17, 2008
Report Date
October 21, 2008
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
MMI
PMA / PMN Number
K971418
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS HEALTHCARE FIELD SERVICE ENGINEER (FSE) WAS SENT TO THE CUSTOMER SITE. ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THAT THE CAUSE FOR THE DISCREPANT TROPONIN RESULT WAS DUE TO THE MALFUNCTION OF THE ASPIRATE/WASH BLOCK. THE INSTRUMENT HAS BEEN REPAIRED. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVAL OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A DISCREPANT POSITIVE ADVIA CENTAUR TROPONIN ULTRA RESULT WAS OBTAINED ON A PT SAMPLE. THE SAMPLE WAS RETESTED AND THE TROPONIN ULTRA RESULT WAS NEGATIVE. PT TREATMENT WAS PRESCRIBED. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES, AS A RESULT OF THE DISCREPANT TROPONIN ULTRA RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR IMMUNOASSAY SYSTEM MMI SIEMENS HEALTHCARE DIAGNOSTICS ADVIA CENTAUR NA

Patients

Seq Age Sex Outcome Treatment
1