MAUDE Adverse Event Report: SIEMENS HEALTHCARE DIAGNOSTICS INC. - GLASGOW STRATUS CS

Catalog Number	10444834
Medical Device Problem Code	False Positive Result (1227)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	01/17/2024
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Siemens has requested more information and instrument files for further investigation.Investigation will begin once information has been received.The cause of this event is unknown.
Event or Problem Description
Customer reported that their stratus cs instrument gave a false positive ctni result.Customer performed repeat analysis on the same instrument.The repeated patient results were all negative and the qc was passing.There is no report of injury due to this event.
Additional Manufacturer Narrative
The testpak in use at the time of the event expired on january 23, 2024; it was therefore expired on january 30th and 31st, which is when the customer claimed the discrepant results occurred.The printouts provided for this complaint appeared to show instrument dates of january 20th and january 21st that were overwritten with the 30th and 31st.Due to the confusion with the dating, investigation of available data was still performed: a review of the calibration and quality control data for lot 233268002 demonstrated the reagent and instrument were working as intended.A review of the manufacturing release data for the lot demonstrated acceptable performance, nothing atypical was observed.No product problem identified.The cause of the event is likely due to user error in using expired product.
Additional Manufacturer Narrative
Siemens healthineers diagnostics has identified, through customer complaints, an increased occurrence of random non-repeatable false positive cardiac troponin (ctni) results at any point during the testpak¿s shelf life when using the stratus cs ctni acute care testpak.This means some ctni values for samples that are expected to fall within the 99th percentile of the reference population (per the instructions for use: 0.00 - 0.07 ng/ml [g/l]) may exceed this range.This issue can impact results.The stratus cs were confirmed to display false positive ctni results without alerting the user.The data revealed the maximum positive bias is 0.42 ng/ml with an average bias of 0.14 ng/ml when repeated on stratus scs platform.Siemens has released a field action (poc 25-006) "false positive ctni results for acute care ctni testpak" to inform customers of the issue and provide mitigation options.Crr#: 3002637618-03-31-2025-002-c.H6 c22: the issue was confirmed but the cause of the elevated rate of false positive ctni is unknown.

• Brand Name: STRATUS CS
• Common Device Name: STRATUS CS
• Manufacturer (Section D): SIEMENS HEALTHCARE DIAGNOSTICS INC. - GLASGOW; 500 gbc drive; po box 6101; newark DE 19714
• Manufacturer (Section G): SIEMENS HEALTHCARE DIAGNOSTICS INC.; 62 flanders-bartley rd.; flanders NJ 07836
• Manufacturer Contact: felix akinrinola ; 2 edgewater drive; norwood, MA 02062
• MDR Report Key: 18675875
• Report Number: 3002637618-2024-00009
• Device Sequence Number: 12310526
• Product Code: MMI
• UDI-Device Identifier: 00842768024863
• UDI-Public: 00842768024863
• Combination Product (Y/N): N
• Initial Reporter Country: SI
• PMA/510(K) Number: K051650
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: User Facility,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Remedial Action: Notification
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 05/02/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: 10444834
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/02/2024
• Supplement Date Received by Manufacturer: 03/08/2024; 04/07/2025
• Initial Report FDA Received Date: 02/09/2024
• Supplement Report FDA Received Date: 04/09/2024; 05/02/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Usage of Device: Reuse
• If action reported to FDA under 21 USC 360i(g), list FDA-assigned Recall Number or include a statement: 3002637618-03-31-2025-00
• Patient Sequence Number: 1
• Patient Sex: Unknown