FDA Adverse Event Malfunction Summary report: N

ADVIA CENTAUR CP

MDR report key: 3250949 · Received July 29, 2013

Report

Report Number
2432235-2013-00366
Event Type
Malfunction
Date Received
July 29, 2013
Date of Event
June 27, 2013
Report Date
July 2, 2013
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
MMI
PMA / PMN Number
K041133
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NM, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS FIELD SERVICE ENGINEER WAS DISPATCHED TO THE CUSTOMER SITE. THE FSE ANALYZED THE INSTRUMENT AND DETERMINED THAT THE CAUSE OF THE DISCORDANT TNI RESULTS WAS UNKNOWN. THE FSE PROACTIVELY REPLACED THE ASPIRATE WASH BLOCK FOR PROBE 1 AND 2, AND CHECKED THE WASH SEQUENCE FOR TNI, THAT UTILIZES ALL FOUR ASPIRATION PROBES. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. FURTHER EVALUATION OF THE DEVICE IS NOT REQUIRED.

Description of Event or Problem · 1

DISCORDANT HIGH RESULTS WERE OBTAINED FOR TROPONIN I (TNI) ON AN ADVIA CENTAUR CP INSTRUMENT FOR TWO PATIENTS. THE TNI RESULTS WERE REPORTED TO THE PHYSICIANS. THE FIRST PATIENT WAS REPEATED USING THE SAME SAMPLE AND THE CORRECTED RESULT WAS REPORTED TO THE PHYSICIAN. THE SECOND PATIENT WAS REPEATED USING A NEW SAMPLE AND THE CORRECTED RESULT WAS REPORTED TO THE PHYSICIAN. THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT HIGH TNI RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
353309 ADVIA CENTAUR CP IMMUNOASSAY ANALYZER MMI SIEMENS HEALTHCARE DIAGNOSTICS INC. ADVIA CENTAUR CP

Patients

Seq Age Sex Outcome Treatment
1