FDA Adverse Event Malfunction Summary report: N

AXSYM RUBELLA IGG ANTIBODY

MDR report key: 1063526 · Received June 19, 2008

Report

Report Number
1415939-2008-00107
Event Type
Malfunction
Date Received
June 19, 2008
Date of Event
February 18, 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 THAT THEY RECEIVED THE ERROR CODE 1111: RUBELLA G CALIBRATION, MCAL 1 TOO HIGH, ON THE AXSYM ANALYZER. THE CUSTOMER DECONTAMINATED THE TUBING AND MUP, REPLACED THE MEIA LAMP, AND CHECKED THE MATRIX CELL EXPIRATION DATE. THE ABBOTT TECHNICAL ADVOCATE ADVISED THE CUSTOMER TO CENTRIFUGE THE CALIBRATORS WHICH RESOLVED THE ISSUE. NO IMPACT TO PATIENT MANAGEMENT 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 51885M100

Patients

Seq Age Sex Outcome Treatment
1 NI AXSYM ANALYZER