FDA Adverse Event Other Summary report: N

ADVIA CENTAUR HBSAG ASSAY

MDR report key: 1637709 · Received March 16, 2010

Report

Report Number
1219913-2010-00033
Event Type
Other
Date Received
March 16, 2010
Date of Event
February 25, 2010
Report Date
February 26, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
LOM
PMA / PMN Number
P030029
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CAUSE FOR THE DISCORDANT (B)(6) RESULT IS UNK. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A POSITIVE ADVIA CENTAUR (B)(6) RESULT WAS OBTAINED FOR A PT SAMPLE AND CONFIRMED USING THE ADVIA CENTAUR CONFIRMATORY ASSAY. THE PT WAS REDRAWN AND THE SAMPLE WAS TESTED. THE RESULTS WERE SIMILAR AND CONFIRMED WITH THE CONFIRMATORY ASSAY. THE PT HAS NOT HAD ELEVATED LIVER ENZYMES SINCE 2008. PT TREATMENT WAS NOT PRESCRIBED OR ALTERED. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT (B)(6) RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR HBSAG ASSAY HBS IMMUNOASSAY LOM SIEMENS HEALTHCARE DIAGNOSTICS INC. NA 146

Patients

Seq Age Sex Outcome Treatment
1 40 YR