ADVIA CENTAUR CP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2015-09-25 for ADVIA CENTAUR CP manufactured by Siemens Healthcare Diagnostics Inc..

Event Text Entries

[26780327] A siemens customer service engineer (cse) was dispatched to the customer. After evaluation of the instrument and instrument data, the cse adjusted aspiration probe 2 as it was too high and was not fixed to the vertical rack. The cse checked the acid and base dispense volumes, cleaned the luminometer, and checked the wash station, injector, distribution volume, and connectors. The cse replaced the wash 1 pump due to a crack. Quality controls were within range. The cause of the discordant, (b)(6) result is unknown, as repeat testing on the same instrument resulted as expected. The instrument is performing according to specifications. No further evaluation of the device is required.
Patient Sequence No: 1, Text Type: N, H10


[26780328] A discordant, (b)(6) antibodies to (b)(6) surface antigen ((b)(6)) result was obtained on one patient sample on an advia centaur cp instrument. The discordant result was reported to the physician(s). Two weeks later, a new sample was obtained from the patient and tested on the same instrument, resulting (b)(6). The customer then centrifuged and repeated the original sample on the same instrument, and the result was also (b)(6). The corrected result was reported to the physician(s). There are no reports of patient intervention or adverse health consequences due to the discordant,(b)(6) result.
Patient Sequence No: 1, Text Type: D, B5


[32245493] The initial mdr 2432235-2015-00414 was filed on september 25, 2015. Additional information (10/23/2015): in an investigation conducted by siemens healthcare it has been determined that the wash 1 pump which was replaced is suspected to be the cause of the (b)(6) result. The assessment is based on the wash sequence that is specified for the (b)(6) assay, which requires a three wash sequence to be performed. In this case, the wash 1 pump delivers wash 1 to dispense port 1 and wash displacement port.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2432235-2015-00414
MDR Report Key5103914
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2015-09-25
Date of Report2015-08-31
Date of Event2015-08-14
Date Mfgr Received2015-10-23
Date Added to Maude2015-09-25
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 FDA3
Event Location3
Manufacturer ContactMARGARITA KARAN
Manufacturer Street511 BENEDICT AVE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145243105
Manufacturer G1STRATEC BIOMEDICAL SWITZERLAND AG
Manufacturer StreetREGISTRATION #: 3008494306 GEWERBESTRASSE 6
Manufacturer CityNEUHAUSEN AM RHEINFALL, 8212
Manufacturer CountrySZ
Manufacturer Postal Code8212
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameADVIA CENTAUR CP
Generic NameIMMUNOASSAY ANALYZER
Product CodeLOM
Date Received2015-09-25
Model NumberADVIA CENTAUR CP
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC.
Manufacturer Address511 BENEDICT AVENUE TARRYTOWN NY 10591 US 10591

Device Sequence Number: 1

Brand NameADVIA CENTAUR CP
Generic NameIMMUNOASSAY ANALYZER
Product CodeMOI
Date Received2015-09-25
Model NumberADVIA CENTAUR CP
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC.
Manufacturer Address511 BENEDICT AVENUE TARRYTOWN NY 10591 US 10591


Patients

Patient NumberTreatmentOutcomeDate
10 2015-09-25

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