FDA Adverse Event Malfunction Summary report: N

AXSYM RUBELLA IGG ANTIBODY

MDR report key: 1063549 · Received June 19, 2008

Report

Report Number
1415939-2008-00144
Event Type
Malfunction
Date Received
June 19, 2008
Date of Event
February 14, 2008
Report Date
June 2, 2008
Manufacturer
ABBOTT LABORATORIES
Product Code
LFX
PMA / PMN Number
K954045
Removal / Correction Number
1415939-6/6/08-004-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 THE RUBELLA CALIBRATION FAILED WITH ERROR CODE 111: M-CAL 1 CHECK TOO HIGH , RUBELLA G, ON THE AXSYM ANALYZER. CUSTOMER RECALIBRATED AFTER CENTRIFUGING THE CALIBRATOR AND RECEIVED ANOTHER FAILURE WITH THE SAME ERROR CODE. NO IMPACT TO PT MANAGEMENT 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 UNK

Patients

Seq Age Sex Outcome Treatment
1 NA AXSYM ANALYZER LIST# 7A83-98| RUBELLA CAL LIST# 9C29-01