FDA Adverse Event Other Summary report: N

ADVIA CENTAUR CP HCV ASSAY

MDR report key: 1946238 · Received December 28, 2010

Report

Report Number
1219913-2010-00167
Event Type
Other
Date Received
December 28, 2010
Date of Event
November 24, 2010
Report Date
November 26, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
MZO
PMA / PMN Number
P030056
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MY
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS REPRESENTATIVE EXAMINED THE (B)(6) QC AND CALIBRATIONS. NO ISSUES WERE FOUND. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. THE CAUSE FOR THE NONREACTIVE ADVIA CENTAUR CP HCV RESULT COMPARED TO THE (B)(6) RESULT FOR THE OTHER METHOD IS UNK. THE INSTRUCTION FOR USE (IFU) LIMITATION SECTION STATES: "THE RESULTS FROM THIS OR ANY OTHER DIAGNOSTIC KIT SHOULD BE USED AND INTERPRETED ONLY IN THE CONTEXT OF THE OVERALL CLINICAL PICTURE. A NEGATIVE TEST RESULT DOES NOT EXCLUDE THE POSSIBILITY OF EXPOSURE TO (B)(6)." "ASSAY PERFORMANCE CHARACTERISTICS HAVE NOT BEEN ESTABLISHED WHEN THE ADVIA CENTAUR HCV ASSAY ISSUED IN CONJUNCTION WITH OTHER MANUFACTURERS' ASSAYS FOR SPECIFIC (B)(6) SEROLOGIC MARKERS."

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION: THE CUSTOMER SENT THE PATIENT SAMPLE TO SIEMENS HEALTHCARE DIAGNOSTICS FOR FURTHER TESTING. THE RESULTS OBTAINED ON THE ADVIA CENTAUR HCV WAS POSITIVE (1.01 INDEX) AND INDETERMINATE BY RIBA WESTERN BLOT. SIEMENS DID NOT CONFIRM THE NEGATIVE INDEX RESPONSES OBTAINED BY THE CUSTOMER. THE SAMPLE WAS NOT CONFIRMED BY THE RIBA WESTERN BLOT.

Description of Event or Problem · 1

A NONREACTIVE ADVIA CENTAUR CP HCV RESULT WAS OBTAINED ON A PT SAMPLE. THE PT SAMPLE WAS TESTED AT ANOTHER SITE ON THE ADVIA CENTAUR AND THE RESULT WAS EQUIVOCAL. THE PT SAMPLE WAS REPEATED ON AN ALTERNATE METHOD AND THE RESULT WAS (B)(6). PT TREATMENT WAS NOT ALTERED OR PRESCRIBED. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT ADVIA CENTAUR CP HCV RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR CP HCV ASSAY HEPATITIS C VIRUS (ANTI-HCV) ASSAY MZO SIEMENS HEALTHCARE DIAGNOSTICS INC. NA 218

Patients

Seq Age Sex Outcome Treatment
1