FDA Adverse Event Malfunction Summary report: N

ADVIA CENTAUR XP SARS-COV-2 IGG (SCOVG)

MDR report key: 15882730 · Received November 29, 2022

Report

Report Number
1219913-2022-00401
Event Type
Malfunction
Date Received
November 29, 2022
Date of Event
November 8, 2022
Report Date
December 21, 2022
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS, INC.
Product Code
QKO
PMA / PMN Number
EUA202670
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A UNITED STATES CUSTOMER CONTACTED SIEMENS CUSTOMER CARE CENTER TO REPORT THE ADVIA CENTAUR XP SARS-COV-2 IGG (SCOVG) LOT 015 WAS UNABLE TO BE CALIBRATED. ALTHOUGH THERE IS NO POTENTIAL FOR SERIOUS INJURY IN THIS CASE, AN MDR WILL BE REPORTED TO THE FDA AS A REQUIREMENT OF THE EMERGENCY USE AUTHORIZATION (EUA). SIEMENS HEALTHCARE DIAGNOSTICS IS INVESTIGATING.

Additional Manufacturer Narrative · 0

SIEMENS FILED THE INITIAL MDR 1219913-2022-00401; NOVEMBER 29, 2022. DECEMBER 13, 2022 ADDITIONAL INFORMATION: SIEMENS HEALTHCARE DIAGNOSTICS INC. INVESTIGATION CONFIRMED THAT THE FAILED CALIBRATIONS ARE DUE TO THE STANDARD S01 VALUE IN THE MASTER CURVE CARD (MCC) FOR THE ADVIA CENTAUR SYSTEMS LOTS 19529015 AND 27236015, BEING SET AT 0.1 INDEX. THE S01 VALUE SHOULD BE 0.01 INDEX. THE ISSUE IS ISOLATED TO THE ADVIA CENTAUR SYSTEMS SCOVG LOTS 19529015 AND 27236015, SMNS 1120376 AND 1120379. CUSTOMERS WERE NOTIFIED OF THE ISSUE AND INSTRUCTED TO DISCONTINUE USE OF THE KITS. (US: CC 23-01.A.US WAS SENT TO US CUSTOMERS ON 2022-12-16 AND OUTSIDE THE US: CC 23-01.A.OUS WAS SENT TO CUSTOMERS ON 2022-12-16 WHO HAVE RECEIVED THE ADVIA CENTAUR SYSTEMS SARS-COV-2 IGG (SCOVG) LOTS 19529015 AND 27236015). IN SECTION H6, THE TYPE OF INVESTIGATION, INVESTIGATION FINDING, AND INVESTIGATION CONCLUSION CODES WERE UPDATED.

Description of Event or Problem · 0

THE CUSTOMER WAS UNABLE TO CALIBRATE THE ADVIA CENTAUR XP SARS-COV-2 IGG (SCOVG) LOT 015. THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE SCOVG CALIBRATION FAILURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2255247 ADVIA CENTAUR XP SARS-COV-2 IGG (SCOVG) SARS-COV-2 IMMUNOASSAY QKO SIEMENS HEALTHCARE DIAGNOSTICS, INC. N/A 015

Patients

Seq Age Sex Outcome Treatment
1 Unknown