FDA Adverse Event Malfunction Summary report: N

ARCHITECT C4000

MDR report key: 12698804 · Received October 26, 2021

Report

Report Number
3016438761-2021-00395
Event Type
Malfunction
Date Received
October 26, 2021
Date of Event
October 4, 2021
Report Date
November 17, 2021
Manufacturer
ABBOTT LABORATORIES
Product Code
JJE
UDI-DI
00380740003753
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A REVIEW OF ARCHITECT (B)(4) INSTRUMENT SERVICE HISTORY, IDENTIFIED NO CONTRIBUTING FACTORS TO THIS COMPLAINT. A REVIEW OF THE ARCHITECT C4000 PLATFORM FOUND ALL ERRATIC RESULTS WERE BELOW THE UPPER CONTROL LIMIT. A REVIEW OF HISTORICAL DATA FOR THE ARCHITECT C4000 WITH THIS COMPLAINT REVEALED NO TRENDS, SYSTEMIC ISSUES, OR NONCONFORMANCES. MANUFACTURING DOCUMENTATION FOR THE LIKELY CAUSE DID NOT IDENTIFY ANY ISSUES ASSOCIATED WITH THE COMPLAINT ISSUE. A REVIEW OF THE PRODUCT LABELING CONCLUDED THAT THE ISSUE IS SUFFICIENTLY ADDRESSED. BASED ON THE INVESTIGATION NO SYSTEMIC ISSUE OR PRODUCT DEFICIENCY WAS IDENTIFIED FOR ARCHITECT C4000, SERIAL NUMBER (B)(4). SECTION A1 PATIENT IDENTIFIER SIDS: NO SID PROVIDED FOR THE 1ST PATIENT, 2ND PATIENT = (B)(6). ADDITIONAL PATIENT ADDED TO SECTION B5.

Description of Event or Problem · 0

THE CUSTOMER REPORTED A FALSELY DECREASED SODIUM RESULT GENERATED ON AN ARCHITECT C4000 ANALYZER ON TWO PATIENTS. RESULTS PROVIDED: (B)(6) 2021 INITIAL = 100 / 142, ANOTHER ARCHITECT = 142 MMOL/L SID (B)(4) = 114 / 141 MMOL/L. NORMAL RANGE: 137-146 MMOL/L. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Additional Manufacturer Narrative · 1

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 REPORTED A FALSELY DECREASED SODIUM RESULT GENERATED ON AN ARCHITECT C4000 ANALYZER ON A PATIENT. RESULTS PROVIDED: INITIAL = 100 / 142, ANOTHER ARCHITECT = 142 MMOL/L. NORMAL RANGE: 137-146 MMOL/L. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1596103 ARCHITECT C4000 ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE ABBOTT LABORATORIES 2P24-40 00380740003753

Patients

Seq Age Sex Outcome Treatment
1 Unknown AERO C8K ICT MOD, 09D28-03,| AERO C8K ICT MOD, 09D28-03,| CONC ICT DILUENT, 02P32-11,| CONC ICT DILUENT, 02P32-11,