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 |