BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVIA CENTAUR XP TOXOPLASMA M (TOXO M) ASSAY

    MDR report key: 7106826 · Received December 11, 2017

    Report

    Report Number
    1219913-2017-00255
    Event Type
    Malfunction
    Date Received
    December 11, 2017
    Date of Event
    August 24, 2017
    Report Date
    February 9, 2018
    Manufacturer
    SIEMENS HEALTHCARE DIAGNOSTICS, INC.
    Product Code
    LGD
    UDI-DI
    00630414208442
    PMA / PMN Number
    K010755
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 0

    SIEMENS FILED THE INITIAL MDR 1219913-2017-00255 ON 12/11/2017 FOR A FALSE NEGATIVE ADVIA CENTAUR XP TOXOPLASMA M (TOXO M) RESULT, AND MDR 1219913-2017-00255 SUPPLEMENTAL 1 ON 01/22/2018 FOR ADDITIONAL INFORMATION. 02/02/2018 - CORRECTION: SIEMENS WAS INFORMED BY THE CUSTOMER THAT THE REFERENCE IN RELEVANT TESTS/LAB DATA TO A NEW SAMPLE COLLECTED ON (B)(6) 2017 WAS IN ERROR. THERE WAS NO NEW SAMPLE OR PATIENT RESULT. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER INVESTIGATION IS REQUIRED. MDR 1219913-2017-00256 WAS FILED FOR A FALSE NEGATIVE ADVIA CENTAUR XP TOXOPLASMA M (TOXO M) RESULT ON A REDRAWN SAMPLE. MDR 1219913-2017-00256 SUPPLEMENTAL REPORT 1 WAS FILED FOR ADDITIONAL INFORMATION AND MDR 1219913-2017-00256 SUPPLEMENTAL REPORT 2 WAS FILED FOR THE SAME RELEVANT TESTS/LAB DATA CORRECTION.

    Additional Manufacturer Narrative · 1

    SIEMENS FILED THE INITIAL MDR 1219913-2017-00255 ON (B)(6) 2017 FOR A FALSE NEGATIVE ADVIA CENTAUR XP TOXOPLASMA M (TOXO M) PATIENT RESULT. ON (B)(6) 2018 ADDITIONAL INFORMATION: SIEMENS HAS REQUESTED FURTHER INFORMATION FOR INVESTIGATION, HOWEVER NONE HAS BEEN PROVIDED. THE CAUSE FALSE NEGATIVE ADVIA CENTAUR XP TOXOPLASMA M (TOXO M) PATIENT RESULT IS UNKNOWN, AND IT APPEARS TO BE SAMPLE/PATIENT SPECIFIC. SIEMENS IS NOT AWARE OF OTHER FALSE NEGATIVE ADVIA CENTAUR XP TOXOPLASMA M (TOXO M) PATIENT RESULTS WITH REAGENT LOT 080278. THE INSTRUMENT IS PERFORMING WITHIN SPECIFICATIONS. NO FURTHER INVESTIGATION IS REQUIRED. MDR 1219913-2017-00256 WAS FILED FOR THE SAME PATIENT FOR A REDRAWN SAMPLE, AND MDR 1219913-2017-00256 SUPPLEMENTAL REPORT 1 FOR ADDITIONAL INFORMATION.

    Additional Manufacturer Narrative · 1

    THE CAUSE FOR THE DISCORDANT NEGATIVE ADVIA CENTAUR XP TOXOPLASMA M RESULT IS UNKNOWN. SIEMENS IS INVESTIGATING. THE INSTRUCTIONS FOR USE (IFU) UNDER THE INTERPRETATION OF RESULTS SECTION STATES THE FOLLOWING: "THE DETECTION OF TOXOPLASMA IGM IN A GIVEN SPECIMEN, AS DETERMINED BY ASSAYS FROM DIFFERENT MANUFACTURERS, CAN VARY DUE TO DIFFERENCES IN ASSAY METHODS AND REAGENT SPECIFICITY." THE INSTRUCTIONS FOR USE (IFU) UNDER THE LIMITATION SECTION STATES THE FOLLOWING: "PATIENT SPECIMENS COLLECTED VERY EARLY DURING THE ACUTE PHASE OF INFECTION MAY CONTAIN TOXOPLASMA IGM LEVELS BELOW THE CUTOFF OF THE ADVIA CENTAUR TOXO M ASSAY. ADDITIONALLY, DIAGNOSIS OF A RECENT INFECTION SHOULD NOT BE MADE BASED ON A SINGLE SAMPLING BECAUSE IGM ANTIBODIES TO T. GONDII MAY PERSIST IN SERUM MANY MONTHS AFTER INFECTION. THE PRESENCE OF IGM ANTIBODIES TO T. GONDII IS NOT DIAGNOSTIC FOR RECENT INFECTION. MDR 1219913-2017-00256 WAS FILED FOR THE SAME COMPLAINT FROM A NEW SAMPLE DRAW ON A DIFFERENT DAY FOR THE SAME PATIENT.

    Description of Event or Problem · 1

    A FALSE NEGATIVE ADVIA CENTAUR XP TOXOPLASMA M (TOXO M) RESULT WAS OBTAINED BY THE CUSTOMER ON A PATIENT KNOWN TO BE PREGNANT. THE NEGATIVE TOXO M RESULT CONSIDERED DISCORDANT COMPARED TO A POSITIVE REFERENCE LABORATORY TEST METHOD RESULT. THE PATIENT SAMPLE WAS SENT TO THE REFERENCE LABORATORY FOR FURTHER TESTING, AND THE TOXO M RESULT WAS POSITIVE. A CORRECTIVE REPORT WAS ISSUED. THE SAME PATIENT WAS REDRAWN AT A LATER DATE ((B)(6) 2017), AND THE ADVIA CENTAUR XP TOXO M RESULT WAS NEGATIVE (REFER TO MDR 1219913-2017-00256). THERE ARE NO REPORTS THAT TREATMENT WAS ALTERED OR PRESCRIBED OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DISCORDANT ADVIA CENTAUR XP TOXO M RESULT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    883934 ADVIA CENTAUR XP TOXOPLASMA M (TOXO M) ASSAY TOXO M IMMUNOASSAY LGD SIEMENS HEALTHCARE DIAGNOSTICS, INC. N/A 080278 00630414208442

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR