FDA Adverse Event Malfunction Summary report: N

AXSYM RUBELLA IGG ANTIBODY

MDR report key: 1152624 · Received September 10, 2008

Report

Report Number
1415939-2008-00251
Event Type
Malfunction
Date Received
September 10, 2008
Date of Event
February 27, 2008
Report Date
February 27, 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
CA
Reporter Occupation
OTHER

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 IS UNABLE TO CALIBRATE THE AXSYM RUBELLA IGG REAGENT, LOT# 57577M201 USING THE MASTER CALIBRATOR, LOT#57959M100. ERROR CODES 1048 (A/B RATIO TOO HIGH) AND 1111(MASTER CALIBRATOR 1 TOO HIGH) WERE GENERATED. THE INSTRUMENT MAINTENANCE WAS UP TO DATE. ALL OTHER ASSAYS WERE WITHIN EXPECTATIONS. 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 OF IGG ANTIBODY TO THE RUBELLA VIRUS LFX ABBOTT LABORATORIES NA 57577M201

Patients

Seq Age Sex Outcome Treatment
1 AXSYM ANALYZER