FDA Adverse Event Other Summary report: N

ADVIA CENTAUR TROPONIN ULTRA ASSAY

MDR report key: 938042 · Received November 1, 2007

Report

Report Number
2432235-2007-00040
Event Type
Other
Date Received
November 1, 2007
Date of Event
September 13, 2007
Report Date
September 24, 2007
Manufacturer
SIEMENS MEDICAL SOLUTIONS DIAGNOSTICS
Product Code
MMI
PMA / PMN Number
K053020
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

SAMPLES FROM THIS PATIENT WERE REQUESTED AND INTERNAL INVESTIGATIONS INDICATED THE DISCREPANT RESULTS ARE DUE TO IMPROPER SAMPLE HANDLING. FOR MEDICAL DEVICE REPORTING PURPOSES THIS EVENT IS CONSIDERED CLOSED.

Description of Event or Problem · 1

THREE SAMPLES FROM THE SAME PATIENT WERE TESTED USING THE TROPONIN ULTRA ASSAY ON THE ADVIA CENTAUR AND ALL 3 HAD ELEVATED DOSES. WHEN THE SAMPLES WERE DILUTED THEY WERE TESTED AS NEGATIVE. THE SAMPLES WERE RE-TESTED ON A DIFFERENT LOT OF THE TROPONIN ULTRA ASSAY AND ALL 3 SAMPLES TESTED POSITIVE AGAIN. THERE IS NO FURTHER IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVIA CENTAUR TROPONIN ULTRA ASSAY TROPONIN IMMUNOASSAY MMI SIEMENS MEDICAL SOLUTIONS DIAGNOSTICS NA 120

Patients

Seq Age Sex Outcome Treatment
1 YR