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 foreign,health professional,u report with the FDA on 2018-09-05 for ADVIA CENTAUR XP AFP ASSAY N/A 10309979 manufactured by Siemens Healthcare Diagnotics, Inc.

Event Text Entries

[119801310] Since the repeat testing of the sample on the initial instrument resulted as <1 ng/ml, preanalytical variables cannot be ruled out for this sample. At this time, the issue appears isolated to one sample. No further evaluation of the device is required. 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. "
Patient Sequence No: 1, Text Type: N, H10


[119801311] Customer observed an elevated result for advia centaur xp afp that was lower upon repeat testing. There are no reports that treatment was altered or prescribed or adverse health consequences due to the elevated advia centaur xp afp result.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219913-2018-00225
MDR Report Key7848012
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2018-09-05
Date of Report2018-09-25
Date of Event2018-08-16
Date Mfgr Received2018-09-06
Device Manufacturer Date2017-10-25
Date Added to Maude2018-09-05
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 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
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameADVIA CENTAUR XP AFP ASSAY
Generic NameAFP IMMUNOASSAY
Product CodeLOJ
Date Received2018-09-05
Model NumberN/A
Catalog Number10309979
Lot Number99956196
Device Expiration Date2019-01-25
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOTICS, INC
Manufacturer Address511 BENEDICT AVENUE TARRYTOWN NY 105915097 US 105915097


Patients

Patient NumberTreatmentOutcomeDate
10 2018-09-05

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