FDA Adverse Event Malfunction Summary report: N

ADVIA CENTAUR XP

MDR report key: 3900970 · Received June 30, 2014

Report

Report Number
2432235-2014-00398
Event Type
Malfunction
Date Received
June 30, 2014
Date of Event
May 28, 2014
Report Date
June 2, 2014
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS, INC.
Product Code
MMI
PMA / PMN Number
K971418
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS CUSTOMER SERVICE ENGINEER (CSE) WAS DISPATCHED TO THE CUSTOMER SITE. AFTER EVALUATION OF THE INSTRUMENT AND INSTRUMENT DATA, THE CSE CHECKED THE SYSTEM TUBING FOR LEAKAGE AND CHECKED REAGENT PROBE 1, REAGENT PROBE 2, REAGENT PROBE 3 AND THE AUXILARY PROBE ALIGNMENTS. THE CSE REPLACED A TUBING SLEEVE AND PRIMED THE SYSTEM. THE CAUSE OF THE DISCORDANT TNIU RESULTS IS UNKNOWN. THE CSE SUCCESSFULLY RAN QC. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. FURTHER EVALUATION OF THE DEVICE IS NOT REQUIRED.

Description of Event or Problem · 1

DISCORDANT CARDIAC TROPONIN I (TNIU) RESULTS WERE OBTAINED ON MULTIPLE PATIENT SAMPLES ON AN ADVIA CENTAUR XP INSTRUMENT. THE INITIAL RESULTS WERE NOT REPORTED TO THE PHYSICIAN(S). THE SAMPLES WERE REPEATED ONCE WITH THE EXCEPTION OF TWO PATIENT SAMPLES WHICH WERE REPEATED THREE TIMES. THE LAST REPEAT RESULT WAS REPORTED TO THE PHYSICIAN(S). THERE ARE NO KNOWN REPORTS OF ADVERSE HEALTH CONSEQUENCES OR PATIENT INTERVENTION DUE TO THE DISCORDANT TNIU RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
380471 ADVIA CENTAUR XP IMMUNOASSAY ANALYZER MMI SIEMENS HEALTHCARE DIAGNOSTICS, INC. ADVIA CENTAUR XP

Patients

Seq Age Sex Outcome Treatment
1