FDA Adverse Event Other Summary report: N

ADVIA CENTAUR CP TROPONIN ULTRA ASSAY

MDR report key: 2823789 · Received July 10, 2008

Report

Report Number
1219913-2008-00054
Event Type
Other
Date Received
July 10, 2008
Date of Event
June 13, 2008
Report Date
June 16, 2008
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC
Product Code
MMI
PMA / PMN Number
K053020
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE CAUSE FOR THE DISCORDANT TROPONIN ULTRA RESULT IS UNK. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVAL OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

CUSTOMER RUNS ALL ADVIA CENTAUR CP TROPONIN ULTRA PT SAMPLES IN DUPLICATE. A POSITIVE AND A NEGATIVE TROPONIN ULTRA RESULT WAS OBTAINED ON A PT SAMPLE. WHEN THE PT SAMPLE WAS RETESTED, THE TROPONIN ULTRA RESULTS WERE NEGATIVE. THE RESULT WAS NOT REPORTED TO THE PHYSICIAN. PT TREATMENT WAS NOT PRESCRIBED OR ALTERED. THERE WAS NO REPORT OF ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT TROPONIN ULTRA RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR CP TROPONIN ULTRA ASSAY TROPONIN IMMUNOASSAY MMI SIEMENS HEALTHCARE DIAGNOSTICS INC NA UNK

Patients

Seq Age Sex Outcome Treatment
1