FDA Adverse Event Malfunction Summary report: N

ARCHITECT STAT HIGH SENSITIVE TROPONIN-I

MDR report key: 13237102 · Received January 12, 2022

Report

Report Number
3005094123-2022-00013
Event Type
Malfunction
Date Received
January 12, 2022
Date of Event
December 22, 2021
Report Date
January 25, 2022
Manufacturer
A.I.D.D LONGFORD
Product Code
MMI
PMA / PMN Number
K191595
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AN EVALUATION IS IN PROCESS. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER 3P25 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER 2R98.

Additional Manufacturer Narrative · 0

A REVIEW OF COMPLAINTS DETERMINED THAT THERE ARE NO TRENDS FOR THE PRODUCT FOR THE COMPLAINT ISSUE. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. HISTORICAL PERFORMANCE IN THE FIELD OF REAGENT LOTS USING WORLD-WIDE DATA THROUGH ABBOTTLINK WAS EVALUATED. THE PATIENT MEDIAN RESULT FOR LOT 31409UD00 WAS ANALYZED AND FOUND TO BE WITHIN ESTABLISHED BASELINES AND CONFIRMS NO SYSTEMIC ISSUES FOR THIS LOT. A REVIEW OF THE MANUFACTURING DOCUMENTATION FOR THE LIKELY CAUSE DID NOT IDENTIFY ANY ISSUES ASSOCIATED WITH THE CUSTOMER¿S OBSERVATION. A REVIEW OF THE PRODUCT LABELING CONCLUDED THAT THE ISSUE IS SUFFICIENTLY ADDRESSED. BASED ON THE INVESTIGATION NO PRODUCT DEFICIENCY WAS IDENTIFIED FOR THE ARCHITECT STAT HIGH SENSITIVE TROPONIN-I, LOT 31409UD00.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSELY ELEVATED ARCHITECT STAT HIGH SENSITIVE TROPONIN-I RESULTS ON AN (B)(6) OLD MALE PATIENT. RESULTS PROVIDED: (B)(6) 2021 = 2162 / 2200 PG/ML. OTHER RESULTS PROVIDED: CK: (B)(6) 2021 = 122 U/L, (B)(6) 2021 = 464 U/L, (B)(6) 2021 = 123 U/L; BNP: (B)(6) 2021 = 441.2 PG/ML, (B)(6) 2021 = 476.2 PG/ML, (B)(6) 2021 = 528.6 PG/ML; ELECTROCARDIOGRAM IS NORMAL. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1101067 ARCHITECT STAT HIGH SENSITIVE TROPONIN-I IMMUNOASSAY METHOD, TROPONIN SUBUNIT MMI A.I.D.D LONGFORD 31409UD00

Patients

Seq Age Sex Outcome Treatment
1 89 YR Male ARC I1000SR MOD, 01L86-01, I1SR61703| ARC I1000SR MOD, 01L86-01, I1SR61703