FDA Adverse Event Malfunction Summary report: N

AXSYM RUBELLA IGG ANTIBODY

MDR report key: 1152612 · Received September 10, 2008

Report

Report Number
1415939-2008-00249
Event Type
Malfunction
Date Received
September 10, 2008
Date of Event
February 27, 2008
Report Date
February 28, 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
GM
Reporter Occupation
OTHER
Health Professional
N

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 DETERMINED THE CALIBRATION FAILURE DUE TO ELEVATED CALIBRATOR A OR MASTER CALIBRATOR 1 AND 2 WITH AN ERROR CODE GENERATED WHEN ATTEMPTING TO CALIBRATE AXSYM RUBELLA IGG REAGENT. THE CUSTOMER PERFORMED PIPETTING CHECK, REPLACED THE PROBE AND CHECKED THE DISPENSED AMOUNT IN THE DISPENSER TRYING TO RESOLVE THE ISSUE. THERE WAS NO IMPACT TO PT MGMT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AXSYM RUBELLA IGG ANTIBODY MEIA FOR THE MEASUREMENT IF IGG ANTIBODY TO THE RUBELLA VIRUS LFX ABBOTT LABORATORIES NA 55922M101

Patients

Seq Age Sex Outcome Treatment
1 AXSYM ANALYZER