FDA Adverse Event Other Summary report: N

OLYMPUS AU400E

MDR report key: 1120764 · Received August 15, 2008

Report

Report Number
8010047-2008-00144
Event Type
Other
Date Received
August 15, 2008
Date of Event
July 16, 2008
Report Date
August 15, 2008
Manufacturer
OLYMPUS CORPORATION
Product Code
JJE
PMA / PMN Number
K981743
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION INDICATED HUMAN ERROR. IT WAS REPORTED THAT THE OPERATOR MANUALLY ENTERED AN INCORRECT CONCENTRATION VALUE OF 0.089 INSTEAD OF 0.689 ON LEVEL 4 CALIBRATOR. THE IFU FOR THE OLYMPUS HBA1C REAGENT STATES "FOLLOWING CALIBRATION, THE RESULTING CURVE SHOULD BE VISUALLY REVIEWED ON THE OLYMPUS ANALYZER FOR ACCEPTABILITY USING THE SOFTWARE OPTIONS- ROUTINE CALIBRATION MONITOR AND CALIBRATION CURVE". NO FURTHER ACTION IS INDICATED UNLESS OTHER SIGNIFICANT INFO IS RECEIVED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A PHYSICIAN QUESTIONED A %A1C RESULT. THE ACCOUNT HAD REPORTED 2.7%. THE REPEAT RESULT WAS 3.4%. WHEN SENDING SAMPLE TO REFERENCE LAB, THE RESULT WAS 6.1%. IT WAS REPORTED THAT THE LAB NOTIFIED APPROX 43 PTS TO BE REDRAWN AND RETESTED. NO FURTHER INFO WAS PROVIDED. NO INFO HAS BEEN RECEIVED TO SUGGEST ANY ILL EFFECTS ASSOCIATED WITH THIS EVENT. THIS EVENT IS BEING FILED IN AN EXCESS OF CAUTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OLYMPUS AU400E AUTOMATED CLINICAL CHEMISTRY ANALYZER JJE OLYMPUS CORPORATION AU400E NA

Patients

Seq Age Sex Outcome Treatment
1 Other