FDA Adverse Event Malfunction Summary report: N

ARCHITECT C16000

MDR report key: 12093438 · Received June 30, 2021

Report

Report Number
3016438761-2021-00237
Event Type
Malfunction
Date Received
June 30, 2021
Date of Event
June 18, 2021
Report Date
July 15, 2021
Manufacturer
ABBOTT LABORATORIES
Product Code
JJE
UDI-DI
00380740005924
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

SERVICE REVIEWED THE INSTRUMENT LOGS AND DETERMINED AERO CUV SEG (09D32-05) TO BE DIRTY. THE CUVETTES WERE CLEANED, AND THE ISSUE WAS RESOLVED. A REVIEW OF THE ANALYZER¿S SERVICE HISTORY IDENTIFIED NO CONTRIBUTING FACTORS TO THE COMPLAINT ISSUE. A REVIEW OF COMPLAINT AND TRENDING DATA FOR THE AERO CUV SEG DID NOT IDENTIFY ANY TRENDS OR ISSUES. A REVIEW OF TRACKING AND TRENDING DATA FOR ARCHITECT C16000 DID NOT IDENTIFY ANY SYSTEMIC ISSUES OR TRENDS. LABELING WAS REVIEWED AND SUFFICIENTLY ADDRESSES THE CUSTOMER¿S ISSUE. NO SYSTEMIC ISSUE OR DEFICIENCY WAS IDENTIFIED FOR THE ARCHITECT C16000 PROCESSING MODULE (B)(6).

Additional Manufacturer Narrative · 1

PATIENT INFORMATION: NO FURTHER PATIENT INFORMATION WAS PROVIDED BY THE CUSTOMER. AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Description of Event or Problem · 1

THE CUSTOMER OBSERVED A FALSELY DEPRESSED CALCIUM RESULT GENERATED ON THE ARCHITECT C16000 PROCESSING MODULE FOR ONE SAMPLE. THE FOLLOWING DATA WAS PROVIDED: SID (B)(6) INITIAL RESULT = 1.5 MMOL/L, REPEAT = 2.19 MMOL/L, REPEAT ON A DIFFERENT ANALYZER = 2.19 MMOL/L. THE CUSTOMER PROVIDED ADDITIONAL DATA THAT WAS FOR TROUBLESHOOTING PURPOSES ONLY. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
990383 ARCHITECT C16000 ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE ABBOTT LABORATORIES 3L77-01 00380740005924

Patients

Seq Age Sex Outcome Treatment
1 CC CALCIUM, 03L79-21,| CC CALCIUM, 03L79-21,| CC CALCIUM, 03L79-21,