FDA Adverse Event Other Summary report: N

ADVIA CENTAUR CP

MDR report key: 1781421 · Received July 28, 2010

Report

Report Number
2432235-2010-00109
Event Type
Other
Date Received
July 28, 2010
Date of Event
July 5, 2010
Report Date
July 7, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
MMI
PMA / PMN Number
K902336
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE. BASED UPON THE INFO PROVIDED AND AN EVAL OF THE INSTRUMENT, IT IS UNK WHAT CAUSED THE DISCORDANT TROPONIN ULTRA RESULT. THE FSE PERFORMED PREVENTATIVE MAINTENANCE AND LUBRICATION OF SAMPLE PROBE. THE INSTRUMENT IS PERFORMING WITHIN SPECS. NO FURTHER EVAL OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A DISCORDANT ADVIA CENTAUR CP TROPONIN ULTRA RESULT WAS OBTAINED ON A PT SAMPLE. THE PT WAS HOSPITALIZED AND THE TEST WAS REPEATED ON BOTH AN ADVIA CENTAUR CP AND ADVIA CENTAUR XP SYSTEM. THE REPEAT TROPONIN ULTRA RESULTS WERE NEGATIVE. NO TREATMENT WAS GIVEN TO THE PT DUE TO THE HIGH RESULT. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT TROPONIN ULTRA RESULT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1