FDA Adverse Event Malfunction Summary report: N

ADVIA CENTAUR XP

MDR report key: 3914724 · Received July 3, 2014

Report

Report Number
2432235-2014-00408
Event Type
Malfunction
Date Received
July 3, 2014
Date of Event
June 6, 2014
Report Date
June 10, 2014
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC.
Product Code
CDZ
PMA / PMN Number
K971418
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NZ
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 DETERMINED THAT WASH 1 REAGENT WAS DRIPPING FROM THE WASH 1 RESUSPEND PORT INTO THE INCUBATION RING CUVETTES. THE CSE DETERMINED THAT THE RESUSPEND PORT TUBING WAS LEAKING. THE CAUSE OF THE PROGESTERONE AND TESTOSTERONE IMPRECISION WAS DUE TO A LEAKING RESUSPEND PORT TUBING. THE CSE REPLACED THE RESUSPEND TUBING AND SUCCESSFULLY RAN QC. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. FURTHER EVALUATION OF THE DEVICE IS NOT REQUIRED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED PROGESTERONE AND TESTOSTERONE IMPRECISION ON AN ADVIA CENTAUR XP INSTRUMENT. THE CUSTOMER WAS NOT PROCESSING PATIENT SAMPLES DURING THE TIME WHEN PROGESTERONE AND TESTOSTERONE IMPRECISION OCCURRED. THERE WERE NO REPORTS OF ADVERSE HEALTH CONSEQUENCES OR KNOWN PATIENT INTERVENTION DUE TO THE PROGESTERONE AND TESTOSTERONE IMPRECISION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
391891 ADVIA CENTAUR XP IMMUNOASSAY ANALYZER CDZ SIEMENS HEALTHCARE DIAGNOSTICS INC. ADVIA CENTAUR XP

Patients

Seq Age Sex Outcome Treatment
1