FDA Adverse Event Malfunction Summary report: N

STRATUS® CS STAT FLUOROMETRIC ANALYZER

MDR report key: 2100258 · Received May 24, 2011

Report

Report Number
2517506-2011-00095
Event Type
Malfunction
Date Received
May 24, 2011
Date of Event
April 21, 2011
Report Date
April 24, 2011
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW
Product Code
MMI
PMA / PMN Number
K051650
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA INDICATE THAT THE CAUSE FOR THE FALSELY ELEVATED TROPONIN I RESULT IS NON-SPECIFIC BINDING DUE TO HETEROPHILIC ANTIBODIES IN THE PATIENT SAMPLE. THE STRATUS(R) CS CTNI TESTPAK IFU STATES: "PATIENT SAMPLES MAY CONTAIN HETEROPHILIC ANTIBODIES THAT COULD REACT IN IMMUNOASSAYS TO GIVE FALSELY ELEVATED OR DEPRESSED RESULTS. THIS ASSAY HAS BEEN DESIGNED TO MINIMIZE INTERFERENCE FROM HETEROPHILIC ANTIBODIES. NEVERTHELESS, COMPLETE ELIMINATION OF THIS INTERFERENCE CANNOT BE GUARANTEED. A TEST RESULT THAT IS INCONSISTENT WITH THE CLINICAL PICTURE AND PATIENT HISTORY SHOULD BE INTERPRETED WITH CAUTION." THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED

Description of Event or Problem · 1

A FALSELY ELEVATED TROPONIN I RESULT WAS OBTAINED ON A PATIENT SAMPLE WITH EACH OF TWO REAGENT LOTS ON THE STRATUS(R) CS SYSTEM. THE ELEVATED RESULT WAS NOT REPORTED TO THE PHYSICIAN. THE SAME SAMPLE WAS REPEATED ON AN ALTERNATE INSTRUMENT SYSTEM AND A NORMAL TROPONIN I RESULT WAS OBTAINED AND REPORTED. PATIENT TREATMENT WAS NOT ALTERED OR PRESCRIBED. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES AS A RESULT OF THE FALSELY ELEVATED TROPONIN I RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRATUS® CS STAT FLUOROMETRIC ANALYZER ACUTE CARE¿ TROPONIN I TESTPAK MMI SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW 230326002

Patients

Seq Age Sex Outcome Treatment
1