FDA Adverse Event Malfunction Summary report: N

ATELLICA IM HBC TOTAL 2 (HBCT2)

MDR report key: 24670095 · Received March 23, 2026

Report

Report Number
1219913-2026-00060
Event Type
Malfunction
Date Received
March 23, 2026
Date of Event
March 5, 2026
Report Date
May 20, 2026
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS LTD.
Product Code
SEI
UDI-DI
00630414604138
PMA / PMN Number
P210019
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE CUSTOMER OBTAINED OF A NON-REACTIVE (NEGATIVE) PATIENT RESULT USING ATELLICA IM HBC TOTAL 2 (HBCT2) LOT 017. THE RESULT WAS NOT REPORTED AS THE PATIENT WAS KNOWN TO HAVE HEPATITIS B. THE SAMPLE WAS RETESTED USING AN ALTERNATE METHOD AND THE RESULT WAS REACTIVE (POSITIVE) AS EXPECTED. THERE ARE NO ALLEGATIONS OF PATIENT OR USER INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE EVENT. THE LIMITATIONS SECTION OF THE INSTRUCTIONS FOR USE (IFU) STATES, THE FOLLOWING: "RESULTS OF THIS ASSAY SHOULD ALWAYS BE INTERPRETED IN CONJUNCTION WITH THE PATIENT¿S MEDICAL HISTORY, CLINICAL PRESENTATION, AND OTHER FINDINGS." FINDINGS." "PATIENT SAMPLES MAY CONTAIN HETEROPHILIC ANTIBODIES THAT COULD REACT IN IMMUNOASSAYS TO GIVE FALSELY ELEVATED OR DEPRESSED RESULTS. THIS ASSAY IS DESIGNED TO MINIMIZE INTERFERENCE FROM HETEROPHILIC ANTIBODIES. ADDITIONAL INFORMATION MAY BE REQUIRED FOR DIAGNOSIS." SIEMENS IS INVESTIGATING.

Description of Event or Problem · 0

THE CUSTOMER OBTAINED OF A NON-REACTIVE (NEGATIVE) PATIENT RESULT USING ATELLICA IM HBC TOTAL 2 (HBCT2) LOT 017. THE RESULT WAS NOT REPORTED AS THE PATIENT WAS KNOWN TO HAVE HEPATITIS B. THE SAMPLE WAS RETESTED USING AN ALTERNATE METHOD AND THE RESULT WAS REACTIVE (POSITIVE) AS EXPECTED. THERE ARE NO ALLEGATIONS OF PATIENT OR USER INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
273276 ATELLICA IM HBC TOTAL 2 (HBCT2) QUALITATIVE AND QUANTITATIVE HEPATITIS B VIRUS ANTIBODY ASSAYS SEI SIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS LTD. N/A 06403017 00630414604138

Patients

Seq Age Sex Outcome Treatment
1 78 YR Male