FDA Adverse Event Malfunction Summary report: N

ARCHITECT C8000

MDR report key: 1060043 · Received June 12, 2008

Report

Report Number
1628664-2008-00142
Event Type
Malfunction
Date Received
June 12, 2008
Date of Event
April 29, 2008
Report Date
May 20, 2008
Manufacturer
ABBOTT MANUFACTURING, INC.
Product Code
JJE
PMA / PMN Number
K980367
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
EI
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS IS AN INITIAL REPORT. AN INVESTIGATION IS IN PROCESS. A FINAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

THE CUSTOMER STATED A PATIENT GENERATED AN INITIAL AND REPEAT POTASSIUM RESULT OF >10 MMOL/L ON THE ARCHITECT C8000 ANALYZER. THIS RESULT WAS REPORTED TO THE PHYSICIAN. ADDITIONAL TESTING YIELDED A RESULT OF 4.55 MMOL/L AND THIS RESULT WAS CONFIRMED ON A BLOOD GAS ANALYZER. THE PATIENT WAS REFERRED TO THE ACCIDENT AND EMERGENCY DEPARTMENT IN THE HOSPITAL FOR ADDITIONAL TESTING. ANOTHER SAMPLE WAS OBTAINED YIELDING A POTASSIUM RESULT OF 4.3 MMOL/L USING THE SAME ARCHITECT ANALYZER THAT PRODUCED THE ORIGINAL HIGH RESULTS. THE PATIENT WAS NOT TREATED BASED ON THE FALSELY ELEVATED POTASSIUM RESULTS, AND THERE WAS NO IMPACT TO PATIENT MANAGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARCHITECT C8000 AUTOMATED CHEMISTRY ANALYZER JJE ABBOTT MANUFACTURING, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 70 YR