ADVIA CENTAUR XP CA 125II IMMUNOASSAY N/A 10310443

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 2017-09-13 for ADVIA CENTAUR XP CA 125II IMMUNOASSAY N/A 10310443 manufactured by Siemens Healthcare Diagnostics, Inc..

Event Text Entries

[87219194] The cause for the discordant ca 125ii results is unknown. The original samples were stored refrigerated and not frozen until testing. The instructions for use states that the samples must be frozen within 24 hours. A siemens field service engineer (fse) went on site and found reagent probes 1 and 3 were bent and out of alignment. The probes were replaced. The customer ran additional patients and observed the following results; (b)(6). A decontamination of the both systems in the customer's lab was performed. (b)(6). Siemens continues to investigate. 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. " the limitations section of the instructions for use states: "note: do not interpret levels of ca 125 as absolute evidence of the presence or the absence of malignant disease. Before treatment, patients with confirmed ovarian carcinoma frequently have levels of ca 125 within the range observed in healthy individuals. Elevated levels of ca 125 can be observed in patients with nonmalignant diseases. Measurements of ca 125 should always be used in conjunction with other diagnostic procedures, including information from the patient's clinical evaluation. The concentration of ca 125 in a given specimen determined with assays from different manufacturers can vary due to differences in assay methods, calibration, and reagent specificity. Ca 125 determined with different manufacturers' assays will vary depending on the method of standardization and antibody specificity. The concentration of ca 125 in a given specimen determined with assays from different manufacturers can vary because of differences in assay methods, calibration, and reagent specificity. Ca 125 determined with different manufacturers' assays will vary depending on the method of standardization and antibody specificity. Therefore, it is important to use assay specific values to evaluate quality control results. " mdr 1219913-2017-00191 for patients 1 and 3 was filed for different patients from the same complaint on a different day.
Patient Sequence No: 1, Text Type: N, H10


[87219195] During a comparison study with a new lot of advia centaur xp ca 125ii, the customer noted a difference in patient sample results for two samples. There are no reports that treatment was altered or prescribed or adverse health consequences due to the difference in advia centaur xp ca 125ii results.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219913-2017-00202
MDR Report Key6861306
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2017-09-13
Date of Report2017-09-19
Date of Event2017-08-16
Date Mfgr Received2017-09-18
Device Manufacturer Date2016-12-19
Date Added to Maude2017-09-13
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 CA 125II IMMUNOASSAY
Generic NameCA 125II IMMUNOASSAY
Product CodeLTK
Date Received2017-09-13
Model NumberN/A
Catalog Number10310443
Lot Number22096173
Device Expiration Date2017-12-19
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
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 2017-09-13

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