ADVIA CENTAUR XP RUBELLA G (RUB G) 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 2019-04-17 for ADVIA CENTAUR XP RUBELLA G (RUB G) N/A 10310283 manufactured by Siemens Healthcare Diagnostics, Inc..

Event Text Entries

[145962267] The cause for the discordant rubella g results is unknown. Siemens healthcare diagnostics is investigating. The ifu states in the warning section: "the use of the advia centaur rubella g assay to diagnose recent infection by testing acute and convalescent samples is not recommended. The calculated values for rubella igg 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 rubella igg assay used. Values obtained with different assay methods cannot be used interchangeably. The reported igg level cannot be correlated to an endpoint titer. " mdr 1219913-2019-00053 (patient 1) and 1219913-2019-00054 (patient 2) were filed for the same event.
Patient Sequence No: 1, Text Type: N, H10


[145962268] A false positive advia centaur xp rubella g (rub g) result was obtained for a patient sample. The patient sample was tested on an alternate method and the result was negative. The physician questioned the positive result. A corrected report was issued. The patient is pregnant. Patient treatment was not prescribed or altered. There was no report of adverse health consequences due to the discordant rubella g result.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219913-2019-00055
MDR Report Key8524859
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2019-04-17
Date of Report2019-05-17
Date of Event2019-03-26
Date Mfgr Received2019-04-25
Device Manufacturer Date2018-07-19
Date Added to Maude2019-04-17
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 CityE. WALPOLE MA 02032
Manufacturer CountryUS
Manufacturer Postal Code02032
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameADVIA CENTAUR XP RUBELLA G (RUB G)
Generic NameRUBELLA G IMMUNOASSAY
Product CodeLFX
Date Received2019-04-17
Model NumberN/A
Catalog Number10310283
Lot Number68942208
Device Expiration Date2019-07-19
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS, INC.
Manufacturer Address511 BENEDICT AVENUE TARRYTOWN NY 105915097 US 105915097


Patients

Patient NumberTreatmentOutcomeDate
10 2019-04-17

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