ADVIA CENTAUR XP TOBRAMYCIN N/A 03329524

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2014-03-14 for ADVIA CENTAUR XP TOBRAMYCIN N/A 03329524 manufactured by Siemens Healthcare Diagnostics, Inc..

Event Text Entries

[4239821] Customer observed that repeated advia centaur xp tobramycin (tobr) results from the same patient did not reproduce. There are no reports that treatment was altered or prescribed based on the results. There are no reports of adverse health consequences based on the non-reproducible advia centaur xp torbramycin results.
Patient Sequence No: 1, Text Type: D, B5


[11549222] The cause of the non-reproducible advia centaur xp tobramycin results is unknown. A siemens field service engineer (fse) was sent to the customer site for system inspection. The fse performed a total service call and found the aspirate probe 2 pinch valve not functioning and not closing and replaced the pin. The check valves 1 and 2 were tested. The fse ran quality control material and found the system to be operating properly. The system was fully functional upon departure. No conclusions can be drawn.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1219913-2014-00062
MDR Report Key3679392
Report Source05,06
Date Received2014-03-14
Date of Report2014-02-17
Date of Event2014-01-30
Date Mfgr Received2014-02-17
Date Added to Maude2014-05-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactLOUISE MCLAUGHLIN
Manufacturer Street333 CONEY STREET
Manufacturer CityEAST WALPOLE MA 02032
Manufacturer CountryUS
Manufacturer Postal02032
Manufacturer Phone5086604381
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS, INC
Manufacturer Street333 CONEY STREET
Manufacturer CityEAST WALPOLE MA 02032
Manufacturer CountryUS
Manufacturer Postal Code02032
Single Use3
Remedial ActionIN
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameADVIA CENTAUR XP TOBRAMYCIN
Generic NameFLUORESCENT IMMUNOASSAY, TOBRAMYCIN
Product CodeLCR
Date Received2014-03-14
Model NumberN/A
Catalog Number03329524
Lot NumberNOT AVAILABLE
ID NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS, INC.
Manufacturer AddressTARRYTOWN NY 10591 US 10591


Patients

Patient NumberTreatmentOutcomeDate
10 2014-03-14

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