FDA Adverse Event Malfunction Summary report: N

STRATUS CS

MDR report key: 3961902 · Received July 28, 2014

Report

Report Number
1217157-2014-00106
Event Type
Malfunction
Date Received
July 28, 2014
Date of Event
June 29, 2014
Report Date
July 1, 2014
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW
Product Code
JHX
PMA / PMN Number
K051650
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE CAUSE FOR THE DISCORDANT TROPONIN RESULTS IS UNKNOWN.

Additional Manufacturer Narrative · 1

SIEMENS TECHNICAL SUPPORT LAB (TSL) INVESTIGATED THE EVENT AND THEY INDICATED THAT THE PATIENT SAMPLE CONTAINED HETEROPHILIC ANTIBODIES. THE TROPONIN IFU CONTAINS THE FOLLOWING STATEMENTS IN THE LIMITATIONS OF PROCEDURE SECTION: "PATIENT SAMPLES MAY CONTAIN HETEROPHILIC ANTIBODIES THAT COULD REACT IN IMMUNOASSAYS TO GIVE FALSELY ELEVATED OR DEPRESSED RESULTS. THIS ASSAY HAS BEEN DESIGNED TO MINIMIZE INTERFERENCE FROM HETEROPHILIC ANTIBODIES. NEVERTHELESS, COMPLETE ELIMINATION OF THIS INTERFERENCE FROM ALL PATIENT SPECIMENS CANNOT BE GUARANTEED. A TEST RESULT THAT IS INCONSISTENT WITH THE CLINICAL PICTURE AND PATIENT HISTORY SHOULD BE INTERPRETED WITH CAUTION" THE INSTRUMENT IS PERFORMING AS INTENDED.

Description of Event or Problem · 1

CUSTOMER REPORTED ERRONEOUS TROPONIN RESULTS ON THE INSTRUMENT. THERE WAS NO REPORT OF INJURY DUE TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
437927 STRATUS CS STRATUS CS JHX SIEMENS HEALTHCARE DIAGNOSTICS INC - GLASGOW

Patients

Seq Age Sex Outcome Treatment
1 35 YR