ARCHITECT TOTAL B-HCG REAGENT KIT
Report
- Report Number
- 3005094123-2023-00001
- Event Type
- Malfunction
- Date Received
- January 5, 2023
- Date of Event
- December 17, 2022
- Report Date
- February 22, 2023
- Manufacturer
- A.I.D.D LONGFORD
- Product Code
- DHA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
DATA AND INFORMATION PROVIDED BY THE CUSTOMER WERE REVIEWED AND SUPPORT THE COMPLAINT ISSUE WITHOUT INDICATION FOR ANY ADDITIONAL ISSUE. RETURN TESTING WAS NOT PERFORMED AS RETURNS WERE NOT AVAILABLE. DEVICE HISTORY RECORD REVIEW WAS PERFORMED ON LOT 42508UD01, WHICH DID NOT SHOW ANY POTENTIAL NON-CONFORMANCES, DEVIATIONS, OR NON-CONFORMANCES. TRENDING REVIEW DID NOT IDENTIFY ANY TRENDS. ACCURACY TESTING WAS COMPLETED USING PANELS WHICH MIMIC PATIENT SAMPLES USING AN IN-HOUSE RETAINED KIT STORED AT THE RECOMMENDED STORAGE CONDITION. ALL SPECIFICATIONS WERE MET INDICATING THAT THE LOT IS PERFORMING ACCEPTABLY. LABELING REVIEW CONCLUDES THAT THE ISSUE IS ADEQUATELY ADDRESSED. AS PER THE INTENDED USE SECTION OF THE PACKAGE INSERT (7K78, G6-5495/ R15, B7K780): ¿THE ARCHITECT TOTAL -HCG ASSAY IS A CHEMILUMINESCENT MICROPARTICLE IMMUNOASSAY (CMIA) FOR THE QUANTITATIVE AND QUALITATIVE DETERMINATION OF BETA HUMAN CHORIONIC GONADOTROPIN (-HCG) IN HUMAN SERUM AND PLASMA FOR THE EARLY DETECTION OF PREGNANCY.¿ THE ASSAY IS NOT INTENDED TO MONITOR FETAL DEVELOPMENT, THEREFORE THERE WAS AN ABNORMAL USE OF THE ASSAY. BASED ON THE INVESTIGATION, NO SYSTEMIC ISSUE OR DEFICIENCY OF THE ARCHITECT TOTAL SS-HCG ASSAY WAS IDENTIFIED.
AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.
THE CUSTOMER OBSERVED FALSELY DEPRESSED ARCHITECT TOTAL B-HCG RESULTS FOR TWO PATIENTS. THE FOLLOWING DATA WAS PROVIDED: PATIENT 1: 35-YEAR-OLD, IN VITRO FERTILIZATION, 8 WEEKS PREGNANT, ARCHITECT TOTAL B-HCG RESULT ON (B)(6) 2022 WAS 13687 MIU/ML, AND ARCHITECT TOTAL B-HCG RESULT ON (B)(6) 2022 WAS 14183 MIU/ML. SINCE THE PATIENTS¿ ARCHITECT TOTAL B-HCG RESULTS DID NOT ELEVATE, THE CLINICAL PHYSICIAN PRESCRIBED MEDICATION TO PREVENT MISCARRIAGE. ADMINISTRATION OF THIS TREATMENT MEDICATION WAS CONSIDERED TO BE UNNECESSARY. THE CUSTOMER SWITCHED TO A NEW CALIBRATOR AND RETESTED THE (B)(6) 2022 SAMPLES. PATIENT 1¿S UNDILUTED HCG RESULT WAS GREATER THAN 15000 MIU/ML, AND THE DILUTED RESULT WAS 142564 MIU/ML. THE PATIENT IS IN GOOD HEALTH AND THERE WAS NO HARM TO THE FETUS. IN ORDER TO CONFIRM THE FETAL DEVELOPMENT, THE PREGNANT WOMAN UNDERWENT B-ULTRASOUND EXAMINATION, AND THE B-ULTRASOUND RESULTS SHOWED THAT THE FETUS WAS DEVELOPING WELL. ADMINISTRATION OF THIS TREATMENT MEDICATION WAS CONSIDERED TO BE UNNECESSARY. THE PATIENT IS IN GOOD HEALTH AND THERE WAS NO HARM TO THE FETUS. THE B-ULTRASOUND RESULTS SHOWED THAT THE FETUS WAS DEVELOPING WELL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1644583 | ARCHITECT TOTAL B-HCG REAGENT KIT | SYSTEM, TEST, HUMAN CHORIONIC GONADOTROPIN | DHA | A.I.D.D LONGFORD | 42508UD01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 35 YR | Female | Other | ARC I2000SR INST, 03M74-02, ISR62924| ARC I2000SR INST, 03M74-02, ISR62924 |