FDA Adverse Event Malfunction Summary report: N

ADVIA CENTAUR XP TROPONIN ULTRA (TNI-ULTRA) ASSAY

MDR report key: 3940552 · Received July 17, 2014

Report

Report Number
1219913-2014-00181
Event Type
Malfunction
Date Received
July 17, 2014
Date of Event
June 29, 2014
Report Date
July 2, 2014
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS, INC.
Product Code
MMI
PMA / PMN Number
K053020
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE CAUSE FOR THE DISCORDANT TROPONIN ULTRA RESULT IS UNKNOWN. THE CUSTOMER CALIBRATES EVERY READYPACK OF TROPONIN. THE CUSTOMER DID NOT OBSERVE ANY ANOMALIES IN THE PHYSICAL APPEARANCE OF THE REAGENTS. QUALITY CONTROL MATERIAL RESULTS ARE WITHIN SPECIFICATION. CLOTTING TIME FOR SAMPLES VARIES BETWEEN 10 MINUTES AND 1 HOUR. SAMPLES ARE CENTRIFUGED AT 4000 RPMS FOR 7 MINUTES BEFORE ENTRY ONTO AUTOMATION SAMPLE MANAGER. THE WERE NO OTHER REPORTS OF NON-REPRODUCIBLE RESULTS ON THIS INSTRUMENT ON THIS DAY. THE INSTRUCTIONS FOR USE UNDER THE SUMMARY AND EXPLANATION OF THE TEST SECTION STATES THE FOLLOWING: "ALWAYS ANALYZE CTNI RESULTS IN THE CONTEXT OF TIME ELAPSED SINCE PATIENT PRESENTATION TO THE HOSPITAL. SERIAL SAMPLING IS RECOMMENDED TO DETECT THE TEMPORAL RISE AND FALL OF TROPONIN LEVELS CHARACTERISTIC OF MI. IN ACCORD WITH PUBLISHED RECOMMENDATIONS, SERIAL TESTING OF CTNI AT INTERVALS OF 2 TO 4 HOURS FOR UP TO 12 TO 24 HOURS IS SUGGESTED TO CORROBORATE A SINGLE CTNI RESULT. AN ELEVATED TROPONIN ALONE IS NOT SUFFICIENT TO MAKE THE DIAGNOSIS OF MI. OTHER MARKERS, SUCH AS CK-MB AND MYOGLOBIN, CAN BE USED IN CONJUNCTION WITH CTNI RESULTS IN AIDING THE DIAGNOSIS OF MI."

Description of Event or Problem · 1

CUSTOMER OBSERVED AN ELEVATED NON-REPRODUCIBLE ADVIA CENTAUR XP TROPONIN ULTRA RESULT. THE CUSTOMER REPEATS EVERY SAMPLE WITH A RESULT LESS THAN 20 NG/L ON THE SAME ANALYZER INITIALLY AND THEN ON THE SECOND ADVIA CENTAUR XP FOR CONFIRMATION PRIOR TO RELEASE OF THE RESULT FROM THE LAB. THERE ARE NO REPORTS THAT TREATMENT WAS ALTERED OR PRESCRIBED. THERE ARE NO REPORTS OR ADVERSE HEALTH CONSEQUENCES BASED ON THE ELEVATED ADVIA CENTAUR XP TNI ULTRA RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
418875 ADVIA CENTAUR XP TROPONIN ULTRA (TNI-ULTRA) ASSAY TROPONIN IMMUNOASSAY MMI SIEMENS HEALTHCARE DIAGNOSTICS, INC. N/A 010084

Patients

Seq Age Sex Outcome Treatment
1