FDA Adverse Event Injury Summary report: N

ADVIA CENTAUR

MDR report key: 2213389 · Received August 16, 2011

Report

Report Number
2432235-2011-00112
Event Type
Injury
Date Received
August 16, 2011
Date of Event
July 28, 2011
Report Date
July 29, 2011
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS, INC.
Product Code
MMI
PMA / PMN Number
K971418
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VT, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FSE (FIELD SERVICE ENGINEER) WAS DISPATCHED TO THE CUSTOMER SITE TO EVALUATE THE INSTRUMENT AND INSTRUMENT DATA. AFTER ANALYSIS OF THE INSTRUMENT AND INSTRUMENT DATA, IT WAS DETERMINED THAT THE CAUSE OF THE DISCORDANT TROPONIN AND CKMB RESULTS IS UNKNOWN. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

DISCORDANT HIGH ADVIA CENTAUR TROPONIN AND CKMB RESULTS WERE OBTAINED ON MULTIPLE PATIENT SAMPLES. THE LABORATORY REPEATED THE SAMPLES AND CORRECTED REPORTS WERE ISSUED TO THE PHYSICIAN(S). ONE PATIENT WAS CATHETERIZED DUE TO THE DISCORDANT TROPONIN AND CKMB RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR DIAGNOSTICS AUTOMATED CHEMILUMINECSENSE SYSTEM (ACS) CENTAUR ANALYZER MMI SIEMENS HEALTHCARE DIAGNOSTICS, INC. ADVIA CENTAUR N/A

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization