ADVIA CENTAUR XP TESTOSTERONE N/A 10309989

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 2015-12-22 for ADVIA CENTAUR XP TESTOSTERONE N/A 10309989 manufactured by Siemens Healthcare Diagnostics, Inc..

Event Text Entries

[34148812] The customer performed troubleshooting by checking the water reservoir and then performed a dispense test on the reagent probe. The flow was checked for bleach. No bleach was detected in the system. The following recommendations were made to the customer: best practice when performing lot to lot comparison study is to use fresh materials and new calibrations for both lots, ideally using the same calibrator lot. The samples should be run on both lots as close as possible to the same time. Sample selection can make an impact on method comparison. Ideally the samples used should have concentrations which cover the entire measurement range of the assay. The cause for the discordant advia centaur xp testosterone results is unknown. The customer has requested service to be dispatched.
Patient Sequence No: 1, Text Type: N, H10


[34148813] Discordant advia centaur xp testosterone results were obtained on samples from two patients during a lot to lot correlation study for reagent lot 177 and lot 178. The results were lower with lot 178. The quality control (qc) was out of range low for level 1. The same calibrator lot ce42 was used for both reagent lots. The customer loaded a new, well mixed testosterone reagent readypack and recalibrated. The qc was run and the results were acceptable. The patient samples were repeated and the results were similar. The results from lot 178 were not reported. Patient treatment was not prescribed or altered. There was no report of adverse health consequences due to the discordant advia centaur xp testosterone result.
Patient Sequence No: 1, Text Type: D, B5


[35235186] Siemens filed the initial mdr 1219913-2015-00200 on december 22, 2015. On 12/30/2015 additional information: service was not dispatched to the customer site. The loading of fresh materials caused the quality control (qc) to return to normal. The customer is satisfied and will continue testing with the advia centaur xp testosterone assay. The qc continues to be in range. The instrument is performing within specifications. No further evaluation of the device is required.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1219913-2015-00200
MDR Report Key5318533
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2015-12-22
Date of Report2015-12-01
Date of Event2015-12-01
Date Mfgr Received2015-12-30
Device Manufacturer Date2015-03-31
Date Added to Maude2015-12-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. EIMAN SULIEMAN
Manufacturer Street333 CONEY STREET
Manufacturer CityEAST WALPOLE MA 02032
Manufacturer CountryUS
Manufacturer Postal02032
Manufacturer Phone5086604603
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS, INC.
Manufacturer Street333 CONEY STREET
Manufacturer CityWALPOLE 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 TESTOSTERONE
Generic NameRADLOIMMUNOASSAY, TESTOSTERONES AND DIHYDROTESTOSTERONE
Product CodeCDZ
Date Received2015-12-22
Model NumberN/A
Catalog Number10309989
Lot Number178
Device Expiration Date2016-05-31
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 105915097 US 105915097


Patients

Patient NumberTreatmentOutcomeDate
10 2015-12-22

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