FDA Adverse Event Other Summary report: N

ADVIA CENTAUR CP ESTRADIOL-6 III ASSAY

MDR report key: 1632747 · Received March 9, 2010

Report

Report Number
1219913-2010-00030
Event Type
Other
Date Received
March 9, 2010
Date of Event
February 22, 2010
Report Date
February 23, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
CHP
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DE, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE CAUSE FOR THE DISCORDANT ESTRADIOL-6 III RESULT IS UNKNOWN. THE CUSTOMER DECLINED SERVICE - NO FURTHER ACTION TAKEN. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

DISCORDANT ADVIA CENTAUR CP ESTRADIOL-6 III ASSAY RESULTS WERE OBTAINED ON A PATIENT SAMPLE. THE NEAT RESULT FOR ESTRADIOL-6 III DID NOT MATCH THE 1:2 DILUTED RESULTS. THE MANUAL DILUTION MATCHED THE ON BOARD DILUTION. PATIENT TREATMENT WAS NOT PRESCRIBED OR ALTERED. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT ESTRADIOL-6 III RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR CP ESTRADIOL-6 III ASSAY E2-6 III IMMUNOASSAY CHP SIEMENS HEALTHCARE DIAGNOSTICS INC. NA 131

Patients

Seq Age Sex Outcome Treatment
1