FDA Adverse Event Summary report: N

ADVIA CENTAUR INTACT PTH (IPTH) ASSAY

MDR report key: 2062864 · Received April 19, 2011

Report

Report Number
1219913-2011-00048
Date Received
April 19, 2011
Date of Event
March 23, 2011
Report Date
March 23, 2011
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS, INC.
Product Code
CEW
PMA / PMN Number
K020217
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THERE ARE NO KNOWN SYSTEM ISSUES THAT MAY HAVE CONTRIBUTED TO THE CUSTOMER REPORTING A LOW DISCORDANT IPTH TEST RESULT OF 13. THE CUSTOMER STATES THAT THE QUALITY CONTROL RESULTS WERE WITHIN ACCEPTABLE LIMITS AND THERE ARE NO REPORTED IPTH RESULTS OF 13 ON EITHER ADVIA CENTAUR SYSTEMS. USER ERROR IS SUSPECTED AND MOST LIKELY THE CONTRIBUTING CAUSE. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATION. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

AN UNCONFIRMED DISCORDANT LOW IPTH RESULT WAS REPORTED BY THE CUSTOMER ON A PATIENT THAT WAS UNDERGOING A PARATHYROIDECTOMY. THE CUSTOMER QUESTIONED THE LOW RESULT WHEN COMPARED TO THE INITIAL TEST RESULT RUN ON THE FIRST ADVIA CENTAUR AND FOLLOW UP TEST RESULTS RUN ON THE SECOND ADVIA CENTAUR SYSTEM. DUE TO THE ERRONEOUS RESULT REPORTED BY THE CUSTOMER INITIALLY, THE PATIENT WAS RETURNED TO SURGERY. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT IPTH RESULT REPORTED BY THE CUSTOMER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR INTACT PTH (IPTH) ASSAY IPTH IMMUNOASSAY CEW SIEMENS HEALTHCARE DIAGNOSTICS, INC. N/A 171

Patients

Seq Age Sex Outcome Treatment
1