FDA Adverse Event
Malfunction
Summary report: N
AXSYM RUBELLA IGG ANTIBODY
MDR report key: 1063613
·
Received June 19, 2008
Report
- Report Number
- 1415939-2008-00139
- Event Type
- Malfunction
- Date Received
- June 19, 2008
- Date of Event
- March 31, 2008
- Report Date
- March 24, 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 THE RUBELLA CALIBRATION FAILED ON THE AXSYM ANALYZER. THE ABBOTT CUSTOMER SERVICE TECHNICIAN (CTA) SENT THE CUSTOMER REPLACEMENT RUBELLA CALIBRATORS AND REAGENT. ON A FOLLOW-UP WITH THE CUSTOMER IT WAS NOTED THAT DESPITE RECEIPT OF THE NEW CALIBRATOR AND REAGENT, THE CALIBRATION STILL FAILED. THE CTA RECOMMENDED DECONTAMINATING THE 3 LINES, CHECKING THE RINSE VOLUME, CLEANING THE OPTICAL LINE AND THEN RECALIBRATE. THIS RESOLVED THE ISSUE. NO IMPACT TO PATIENT 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 | LFX | ABBOTT LABORATORIES | NA | 57577M201 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NI | RUBELLA MCAL| AXSYM ANALYZER |