FDA Adverse Event Malfunction Summary report: N

ADVIA CENTAUR XP

MDR report key: 3093833 · Received May 6, 2013

Report

Report Number
2432235-2013-00166
Event Type
Malfunction
Date Received
May 6, 2013
Date of Event
April 8, 2013
Report Date
April 11, 2013
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
MMI
PMA / PMN Number
K041133
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER CONTACTED THE SIEMENS TECHNICAL SOLUTIONS CENTER (TSC). AFTER EVALUATION OF THE INSTRUMENT DATA, THE TSC SPECIALIST DID NOT FIND AN INSTRUMENT MALFUNCTION. THE TSC SPECIALIST OFFERED FOR A FIELD SERVICE ENGINEER TO BE SENT TO THE CUSTOMER SITE, AND THE CUSTOMER DECLINED SERVICE. THE CUSTOMER EXPRESSED THAT THE SAMPLE APPEARED TO HAVE FIBRIN. THE CAUSE OF THE DISCORDANT, FALSELY ELEVATED TROPONIN RESULT ON ONE PATIENT SAMPLE IS UNKNOWN. 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 ONE PATIENT SAMPLE ON AN ADVIA CENTAUR XP INSTRUMENT. THE DISCORDANT RESULT WAS NOT REPORTED TO THE PHYSICIAN(S) BECAUSE IT DID NOT MATCH THE PATIENT'S RESULTS FROM A PREVIOUS RUN ON AN ALTERNATE INSTRUMENT. THE SAMPLE WAS RERUN ON THE SAME INSTRUMENT AND RESULTED LOWER. A RESULT FROM THE ALTERNATE INSTRUMENT WAS 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
196611 ADVIA CENTAUR XP IMMUNOASSAY ANALYZER MMI SIEMENS HEALTHCARE DIAGNOSTICS ADVIA CENTAUR XP

Patients

Seq Age Sex Outcome Treatment
1