ADVIA CENTAUR XPT RUBELLA G (RUB G) ASSAY N/A 10310283

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 2018-10-08 for ADVIA CENTAUR XPT RUBELLA G (RUB G) ASSAY N/A 10310283 manufactured by Siemens Healthcare Diagnostics, Inc..

Event Text Entries

[125139611] The cause for the discordant advia centaur xpt rubella g (rub g) results obtained on a patient sample from two different reagent lots is unknown. Siemens is investigating. Mdr 1219913-2018-00247 was filed for a false positive rubella g result from the same patient in september, 2018.
Patient Sequence No: 1, Text Type: N, H10


[125139612] False positive advia centaur xpt rubella g (rub g) results were obtained on a patient sample from two different reagent lots. The positive results were considered discordant compared to negative rubella g alternate test method result(s) during the patient's pregnancy. There are no reports that treatment was altered or prescribed or adverse health consequences due to the positive advia centaur xpt rubella igg results. Mdr 1219913-2018-00247 was filed for a false positive result from the same patient in september, 2018.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219913-2018-00246
MDR Report Key7945060
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2018-10-08
Date of Report2019-01-11
Date of Event2018-07-23
Date Mfgr Received2018-12-21
Device Manufacturer Date2017-12-14
Date Added to Maude2018-10-08
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 ContactSTEPHEN PERRY
Manufacturer Street333 CONEY STREET
Manufacturer CityEAST WALPOLE MA 02032
Manufacturer CountryUS
Manufacturer Postal02032
Manufacturer Phone5086604163
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 XPT RUBELLA G (RUB G) ASSAY
Generic NameRUBELLA G IMMUNOASSAY
Product CodeLFX
Date Received2018-10-08
Model NumberN/A
Catalog Number10310283
Lot Number068202
Device Expiration Date2018-12-14
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
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 2018-10-08

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