ADVIA CENTAUR XP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2016-06-27 for ADVIA CENTAUR XP manufactured by Siemens Healthcare Diagnostics Inc..

Event Text Entries

[48307783] A siemens customer service engineer (cse) specialist was dispatched to the customer site. The cse checked the sample syringe and sample probe tubing and lubricated the sample syringe. The cse verified the functioning of sample probe to cuvette bottom and reagent 1, reagent 2 and ancillary probes. The cse also verified washing and it was functioning properly. The cse then checked the ancillary diluter, acid and base dispensing and reagent for clumps prior to loading it onto the system. The cse performed precision testing and ran quality controls, which were acceptable. The cause of the discordant testosterone results on multiple patient samples is unknown. The instrument is performing according to specifications. No further evaluation of the device is required.
Patient Sequence No: 1, Text Type: N, H10


[48307784] Discordant testosterone results were obtained on multiple patient samples on an advia centaur xp instrument. The samples were repeated and the results were different than the initial results. It is unknown if the samples were repeated on the same instrument or on an alternate instrument. It is unknown which results were reported to the physician(s). There are no known reports of patient intervention or adverse health consequences due to the discordant testosterone results.
Patient Sequence No: 1, Text Type: D, B5


[49675560] The initial mdr 2432235-2016-00339 was filed on june 27, 2016. Additional information (07/05/2016): the initial mdr states that it is unknown which results were reported to the physician(s). Additional information that the repeat results were reported to the physician(s) was obtained. The customer also stated that there was delay in reporting of patient results as the samples had to be repeated.
Patient Sequence No: 1, Text Type: N, H10


[49675561] The discordant results were not reported to the physician(s). The repeat results were reported to the physician(s). Additionally, the customer stated that there was delay in reporting of the results as the patient samples had to be repeated.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2432235-2016-00339
MDR Report Key5750941
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2016-06-27
Date of Report2016-07-07
Date of Event2016-05-13
Date Mfgr Received2016-07-05
Device Manufacturer Date2007-09-03
Date Added to Maude2016-06-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMARGARITA KARAN
Manufacturer Street511 BENEDICT AVENUE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145243105
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS
Manufacturer StreetMANUFACTURING LIMITED REGISTRATION NUMBER: 8020888
Manufacturer CityCHAPEL LANE, SWORDS, CO., DUBLIN
Manufacturer CountryEI
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameADVIA CENTAUR XP
Generic NameIMMUNOASSAY ANALYZER
Product CodeCDZ
Date Received2016-06-27
Model NumberADVIA CENTAUR XP
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC.
Manufacturer Address511 BENEDICT AVE TARRYTOWN NY 10591 US 10591


Patients

Patient NumberTreatmentOutcomeDate
10 2016-06-27

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