FDA Adverse Event Malfunction Summary report: N

ADVIA CENTAUR CP

MDR report key: 3090844 · Received May 2, 2013

Report

Report Number
2432235-2013-00162
Event Type
Malfunction
Date Received
May 2, 2013
Date of Event
April 8, 2013
Report Date
April 9, 2013
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
MMI
PMA / PMN Number
K041133
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE. AFTER EVALUATION OF THE INSTRUMENT AND INSTRUMENT DATA, THE FSE DISCOVERED A LEAK UNDER THE BASE PUMP. THE FSE REPAIRED THE LEAKING BASE PUMP AND THE ACID PUMP PISTON, WHICH HAD SIGNS OF OXIDATION. THE CAUSE OF THE DISCORDANT, FALSELY ELEVATED TROPONIN RESULT WAS A MALFUNCTION OF THE BASE PUMP. THE INSTRUMENT IS PERFORMING ACCORDING TO SPECIFICATIONS. NO FURTHER EVALUATION OF THIS DEVICE IS REQUIRED.

Description of Event or Problem · 1

A DISCORDANT, FALSELY ELEVATED TROPONIN RESULT WAS OBTAINED ON A PATIENT SAMPLE ON AN ADVIA CENTAUR CP INSTRUMENT. THE DISCORDANT RESULT WAS NOT REPORTED TO THE PHYSICIAN(S). THE SAMPLE WAS RERUN IN DUPLICATE ON THE SAME INSTRUMENT, AND RESULTED LOWER. THE RERUN RESULTS WERE REPORTED TO THE PHYSICIAN(S). THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT, FALSELY ELEVATED TROPONIN RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
192352 ADVIA CENTAUR CP IMMUNOASSAY ANALYZER MMI SIEMENS HEALTHCARE DIAGNOSTICS ADVIA CENTAUR CP

Patients

Seq Age Sex Outcome Treatment
1 68 YR