FDA Adverse Event
Malfunction
Summary report: N
AXSYM RUBELLA IGG ANTIBODY
MDR report key: 1063518
·
Received June 19, 2008
Report
- Report Number
- 1415939-2008-00113
- Event Type
- Malfunction
- Date Received
- June 19, 2008
- Date of Event
- February 21, 2008
- Report Date
- June 2, 2008
- Manufacturer
- ABBOTT LABORATORIES
- Product Code
- LFX
- PMA / PMN Number
- K954045
- Removal / Correction Number
- 1415939-6/06/08-004-C
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- UNKNOWN
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 THEY RECEIVED THE ERROR CODE 1010: ERROR IN MASTER CALIBRATION, M-CAL 2, SPAN TOO LARGE, ON THE AXSYM ANALYZER. THE ABBOTT CUSTOMER TECHNICAL ADVOCATE (CTA) ASKED THE CUSTOMER TO CHECK THE OPTICS AND DISPENSING AND DECONTAMINATE THE MUP. THE CUSTOMER PERFORMED THE RECOMMENDED TROUBLESHOOTING WITHOUT RESOLUTION. THE CTA ADVISED THE CUSTOMER TO CENTRIFUGE THE CALIBRATORS PRIOR TO USE. NO IMPACT TO PT MGMT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | AXSYM RUBELLA IGG ANTIBODY | MEIA FOR THE MEASUREMENT OF IGG ANTIBODY TO THE RUBELLA VIRUS | LFX | ABBOTT LABORATORIES | NA | 55922M101 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NI | AXSYM ANALYZER| RUBELLA MCAL LIST# 3B23-30 |