ADVIA CENTAUR XP AFP ASSAY N/A 10309979

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 2017-09-06 for ADVIA CENTAUR XP AFP ASSAY N/A 10309979 manufactured by Siemens Healthcare Diagnostics, Inc..

Event Text Entries

[85011903] Siemens requested the patient sample and information on the diagnosis and treatment of the patient. Additional information and the sample were not provided. Siemens service went on site and inspected and tested the advia centaur xp in diagnostics. The system checks were good and within limits. The acid and base dispense properly. A precision study of afp, ca 15-3 and cea showed no issues. A precision study of the sample in question was performed and no issues were observed. Qc passed within limits. Siemens reviewed the customer's calibrations and control values and did not observe any issues. The root cause of the elevated result with this one sample cannot be determined. The sample was not tested on any other lot of reagent. The expected results section of the instructions for use states: "in this study, 98. 4% of the apparently healthy subjects had afp values less than 8. 1 ng/ml. " the table shows that 12 apparently healthy subjects had values between 8. 1 ng/ml and 20. 0 ng/ml. The warning in the intended use section of the instructions for use states: "the concentration of afp in a given specimen, as determined by assays from different manufacturers, can vary due to differences in assay methods and reagent specificity. The results reported by the laboratory to the physician must include the identity of the afp assay used. Values obtained with different afp assay methods cannot be used interchangeably. " the interpretation of results section of the instructions for use states: "results of this assay should always be interpreted in conjunction with patient's medical history, clinical presentation and other findings. " based on the information available, advia centaur afp lot 188 is performing as intended. No further investigation required.
Patient Sequence No: 1, Text Type: N, H10


[85011904] Customer observed a reproducibly, elevated advia centaur xp alpha-fetoprotein (afp) result on one patient sample compared to historical results and an alternate method. The physician questioned the result since historically, the result was lower. There are no reports that treatment was altered or prescribed or adverse health consequences due to the elevated advia centaur xp afp results.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219913-2017-00190
MDR Report Key6845673
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2017-09-06
Date of Report2017-09-06
Date of Event2017-08-14
Date Mfgr Received2017-08-21
Device Manufacturer Date2017-03-06
Date Added to Maude2017-09-06
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 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 AFP ASSAY
Generic NameAFP IMMUNOASSAY
Product CodeLOJ
Date Received2017-09-06
Model NumberN/A
Catalog Number10309979
Lot Number188
Device Expiration Date2018-06-06
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS, INC.
Manufacturer AddressTARRYTOWN NY 10591 US 10591


Patients

Patient NumberTreatmentOutcomeDate
10 2017-09-06

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