FDA Adverse Event Malfunction Summary report: N

ADVIA CENTAUR CP

MDR report key: 4141261 · Received October 3, 2014

Report

Report Number
2432235-2014-00578
Event Type
Malfunction
Date Received
October 3, 2014
Date of Event
September 9, 2014
Report Date
September 9, 2014
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS
Product Code
MMI
PMA / PMN Number
K971418
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SIEMENS CUSTOMER SERVICE ENGINEER (CSE) WAS DISPATCHED TO THE CUSTOMER SITE. THE CSE EVALUATED THE INSTRUMENT AND INSTRUMENT DATA AND REPLACED THE ASPIRATE RINSE BLOCK. THE CSE ALSO CLEANED THE IONIZER FAN AND RAN A PRECISION TEST. THE CAUSE OF THE DISCORDANT TNI UL RESULT IS UNKNOWN. THE CSE SUCCESSFULLY RAN CALIBRATIONS AND QUALITY CONTROLS. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER EVALUATION OF THE DEVICE IS REQUIRED.

Description of Event or Problem · 1

A DISCORDANT, FALSELY ELEVATED CARDIAC TROPONIN I (TNI UL) RESULT WAS OBTAINED ON ONE PATIENT SAMPLE ON AN ADVIA CENTAUR CP INSTRUMENT. THE DISCORDANT TNI UL RESULT WAS NOT REPORTED TO THE PHYSICIAN(S). THE SAMPLE WAS REPEATED ON THE SAME SYSTEM, WHICH RESULTED LOWER. THE SAMPLE WAS RE-SPUN AND REPEATED TWO TIMES ON THE SAME SYSTEM. IT IS UNKNOWN AS TO WHICH REPEAT RESULT WAS REPORTED TO THE PHYSICIAN(S). THERE ARE NO KNOWN REPORTS OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT, FALSELY ELEVATED, TNI UL RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
620405 ADVIA CENTAUR CP IMMUNOASSAY ANALYZER MMI SIEMENS HEALTHCARE DIAGNOSTICS ADVIA CENTAUR CP

Patients

Seq Age Sex Outcome Treatment
1