FDA Adverse Event Malfunction Summary report: N

AXSYM RUBELLA IGG ANTIBODY

MDR report key: 1152668 · Received September 10, 2008

Report

Report Number
1415939-2008-00263
Event Type
Malfunction
Date Received
September 10, 2008
Date of Event
May 13, 2008
Report Date
May 13, 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
AS
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 STATED THAT, THE RUBELLA IGG REAGENT CALIBRATION FAILED WITH ERROR CODE 1018: CALIBRATION CHECK FAILURE, CAL A, RESULTS TOO HIGH, AND ERROR CODE 1001: ASSAY CALIBRATION FAILURE, RUBELLA G, ON THE AXSYM ANALYZER. THE ABBOTT FIELD SERVICE ENGINEER (FSE) INSPECTED THE PROBES AND TUBING AND CALIBRATED BOTH PROBES. THE FSE ATTEMPTED TO RECALIBRATE BUT IT FAILED AGAIN. THE FSE THEN CENTRIFUGED THE CALIBRATOR, REPLACED THE NEGATIVE CONTROL AND RECALIBRATED SUCCESSFULLY. 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 VIRUS LFX ABBOTT LABORATORIES NA 58295M100

Patients

Seq Age Sex Outcome Treatment
1 AXSYM ANALYZER