FDA Adverse Event Malfunction Summary report: N

AXSYM RUBELLA IGG ANTIBODY

MDR report key: 1152603 · Received September 10, 2008

Report

Report Number
1415939-2008-00240
Event Type
Malfunction
Date Received
September 10, 2008
Date of Event
January 9, 2008
Report Date
January 9, 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
TU
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS IS AN INITITAL 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 1048: CALIBRATION CHECK FAILURE, CAL A/B RATIO TOO HIGH, ON THE AXSYM ANALYZER. SYSTEM MAINTENANCE WAS PERFORMED BY THE ABBOTT FIELD SERVICE ENGINEER AND THE ASSAY RECALIBRATED WITHOUT RESOLUTION. 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 52563M100

Patients

Seq Age Sex Outcome Treatment
1 AXSYM ANALYZER