FDA Adverse Event Malfunction Summary report: N

CLINICAL CHEMISTRY IRON

MDR report key: 1171505 · Received September 17, 2008

Report

Report Number
2018433-2008-00185
Event Type
Malfunction
Date Received
September 17, 2008
Date of Event
September 1, 2008
Report Date
September 3, 2008
Manufacturer
ABBOTT MANUFACTURING, INC.
Product Code
CFM
PMA / PMN Number
K981581
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

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.

Additional Manufacturer Narrative · 1

(B)(4). THE CUSTOMER WAS COMPLAINING OF IRON REPRODUCIBILITY ISSUES. MAINTENANCE WAS UP TO DATE. CUSTOMER USING CLINICAL CHEMISTRY IRON, LN 7D68-30, EXP 10/30/2008 AND IRON/MG CALIBRATOR, LN 1E69-03, EXP 6/9/2008. IT WAS LATER IDENTIFIED THE CUSTOMER WAS USING EXPIRED CALIBRATORS WHEN THE SUSPECT RESULTS WERE GENERATED. REVIEW THE CLINICAL CHEMISTRY IRON/ MAGNESIUM CALIBRATOR PACKAGE INSERT COMMODITY #(B)(4) WAS PERFORMED. PAGE 1, "WARNINGS AND PRECAUTIONS" SECTION STATES; "DO NOT USE COMPONENTS BEYOND THE EXPIRATION DATE". REVIEW OF THE ABBOTT METRIC REPORTS INDICATED NO SIMILAR COMPLAINTS WERE FOUND. THIS IS THE FINAL REPORT.

Description of Event or Problem · 1

THE ACCOUNT STATED THAT THE RESULTS FROM THE ARCHITECT IRON ASSAY ARE NON-REPRODUCIBLE. FOR PATIENT #2, THE INITIAL RESULT= 6 UG/DL, THE SAMPLE WAS THEN TESTED IN DUPLICATE AND BOTH RESULTS WERE 15 UG/DL. THE ACCOUNT STATES THE INITIAL RESULT WHICH IS TOO LOW IS THE INCORRECT RESULT. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CLINICAL CHEMISTRY IRON FOR THE QUANTITATION OF IRON IN HUMAN SERUM CFM ABBOTT MANUFACTURING, INC. NA 60030HW00

Patients

Seq Age Sex Outcome Treatment
1 NI IRON/MAG CAL, LIST# 1E69-03, LOT# 57921M100| ARCITECT C8000 ANALYZER, (B)(4)| ARCHITECT C8000 ANALYZER, (B)(4)| ARCHITECT C8000 ANALYZER, (B)(4)