ADVIA CENTAUR XP CALIBRATOR Q N/A 10310296

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 2018-01-29 for ADVIA CENTAUR XP CALIBRATOR Q N/A 10310296 manufactured by Siemens Healthcare Diagnostics, Inc..

Event Text Entries

[98537631] A siemens field service engineer (fse) was sent to the customer site. The fse found the reagent probe 1 alignment was off. The fse performed an alignment on probe 1 with no issues. The customer ran calibrations and quality controls with no issues. After the alignment on probe 1, lot 282 was calibrated with a new shipment of calibrator q lot cq74 and recovery returned to normal. It is unclear whether the probe alignment or the new calibrator resolved the issue. The cause for the discordant advia centaur xp psa results could be due to the probe alignment and/or shipping/handling of the original vials of calibrator q lot cq74. The instrument is performing within specification. No further evaluation of the device is required. The ifu states in the limitations section: "note: do not interpret levels of psa as absolute evidence of the presence or the absence of malignant disease. Before treatment, patients with confirmed prostate carcinoma frequently have levels of psa within the range observed in healthy individuals. Elevated levels of psa can be observed in patients with nonmalignant diseases. Measurements of psa should always be used in conjunction with other diagnostic procedures, including information from the patient's clinical evaluation. " mdr 1219913-2018-00005 was filed for the same event.
Patient Sequence No: 1, Text Type: N, H10


[98537632] Discordant high advia centaur xp psa results were obtained for samples from two patients when changing calibrator lot numbers. The customer swtiched from calibrator lot cq72 from lot cq74 using the same reagent lot 282. The results were higher with lot cq74. The customer also had high recovery with the quality control. It is unknown if patient treatment was prescribed or altered. There was no report of adverse health consequences due to the discordant psa result.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219913-2018-00004
MDR Report Key7224238
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2018-01-29
Date of Report2018-01-29
Date of Event2018-01-04
Date Mfgr Received2018-01-04
Date Added to Maude2018-01-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. EIMAN SULIEMAN
Manufacturer Street333 CONEY STREET
Manufacturer CityE. 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
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameADVIA CENTAUR XP CALIBRATOR Q
Generic NameCALIBRATOR Q
Product CodeMTF
Date Received2018-01-29
Model NumberN/A
Catalog Number10310296
Lot Number12631A74
Device Expiration Date2018-08-29
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS, INC.
Manufacturer Address511 BENEDICT AVENUE TARRYTOWN NY 105915097 US 105915097


Patients

Patient NumberTreatmentOutcomeDate
10 2018-01-29

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