FDA Adverse Event Other Summary report: N

ADVIA CENTAUR TESTOSTERONE (TSTO) ASSAY

MDR report key: 2001813 · Received February 22, 2011

Report

Report Number
1219913-2011-00019
Event Type
Other
Date Received
February 22, 2011
Date of Event
January 27, 2011
Report Date
January 27, 2011
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
CDZ
PMA / PMN Number
K934562
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CAUSE FOR THE DISCORDANT LOW TESTOSTERONE RESULT IS UNK. THE SYSTEM ERROR LOG NOTED A VOLUME CHECK ERROR FOR REAGENT PROBE 2. A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS SENT TO THE CUSTOMER SITE FOR SYSTEM INSPECTION. THE FSE REPLACED THE ACID PUMP, HOWEVER, NO CONCLUSION CAN BE DRAWN. THE INSTRUMENTS ARE PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A FALSE LOW ADVIA CENTAUR TESTOSTERONE RESULT WAS OBTAINED ON A PT SAMPLE WHEN COMPARED TO REPEAT TESTING. PT TREATMENT WAS NOT PRESCRIBED OR ALTERED. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT TESTOSTERONE RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR TESTOSTERONE (TSTO) ASSAY TESTOSTERONE IMMUNOASSAY CDZ SIEMENS HEALTHCARE DIAGNOSTICS INC. NA 151

Patients

Seq Age Sex Outcome Treatment
1