FDA Adverse Event Malfunction Summary report: N

ADVIA CENTAUR CP

MDR report key: 3910363 · Received July 2, 2014

Report

Report Number
2432235-2014-00403
Event Type
Malfunction
Date Received
July 2, 2014
Date of Event
June 10, 2014
Report Date
June 11, 2014
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
MOI
PMA / PMN Number
K971418
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
HEALTH PROFESSIONAL

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 OBSERVED THAT THE ASPIRATION PROBE WASTE PUMP WAS NOT WORKING PROPERLY FOR ASPIRATION PROBE 2. THE CSE REPLACED THE PERISTALTIC PUMP TUBING AND ALL WASTE TUBING, REPLACED AND ADJUSTED THE REAGENT PROBE AND REPLACED THE WASH 1 SOLUTION. THE CSE REPLACED AND ALIGNED THE INCUBATION RING AND RAN PRECISION TESTING, RESULTING WITHIN RANGE. THE CAUSE OF THE DISCORDANT, FALSELY ELEVATED TROPONIN RESULT IS AN INCUBATION RING MALFUNCTION. THE INSTRUMENT IS PERFORMING ACCORDING TO SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A DISCORDANT, FALSELY ELEVATED TROPONIN RESULT WAS OBTAINED DURING REPEAT TESTING ON ONE PATIENT SAMPLE ON AN ADVIA CENTAUR CP INSTRUMENT. THE DISCORDANT RESULT WAS NOT REPORTED TO THE PHYSICIAN(S). THE SAMPLE HAD RESULTED LOWER ON INITIAL RUN AND THE DISCORDANT RESULT WAS OBTAINED ON REPEAT ON THE SAME INSTRUMENT. THE CORRECTED RESULT WAS REPORTED TO THE PHYSICIAN(S). THERE ARE NO 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
387766 ADVIA CENTAUR CP CLINICAL CHEMISTRY ANALYZER MOI SIEMENS HEALTHCARE DIAGNOSTICS INC. ADVIA CENTAUR CP

Patients

Seq Age Sex Outcome Treatment
1