FDA Adverse Event Malfunction Summary report: N

CELL-DYN RUBY SYSTEM

MDR report key: 18111468 · Received November 10, 2023

Report

Report Number
2919069-2023-00041
Event Type
Malfunction
Date Received
November 10, 2023
Date of Event
August 11, 2023
Report Date
August 15, 2024
Manufacturer
ABBOTT LABORATORIES
Product Code
GKZ
UDI-DI
00380740017170
PMA / PMN Number
K061667
Removal / Correction Number
1415939-10/31/23-001-C
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION FOR SECTION D: CELL-DYN SAPPHIRE LN 08H00-01. D1 BRAND NAME: CELL-DYN SAPPHIRE. D2 COMMON DEVICE NAME: COUNTER, DIFFERENTIAL CELL. D2B PRODUCT CODE: GKZ. LEGAL MANUFACTURE: ABBOTT LABORATORIES, 4551 GREAT AMERICA PARKWAY, SANTA CLARA, CA, 95054. D4- CATALOG#: 08H00-01. D4 UDI: (B)(4). ADDITIONAL INFORMATION FOR SECTION G4-PMA/510(K)#: K051215 FOR CELL-DYN SAPPHIRE. ADDITIONAL INFORMATION FOR SECTION H4 DEVICE MFG DATE: CELL-DYN RUBY MANUFACTURING DATE RANGE: 06/12/2006-09/04/2023. CELL-DYN SAPPHIRE MANUFACTURING DATE RANGE: 03/31/2005-09/22/2020. THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION. A PRODUCT CORRECTION LETTER WAS ISSUED ON 19OCT2023 TO ALL CELL-DYN RUBY AND SAPPHIRE CUSTOMERS, NOTIFYING THEM OF THE REQUIRED LABELING UPDATE TO IDENTIFY THE PRODUCT CONTAINS LATEX. THE PRODUCT CORRECTION LETTER INFORMS THE CUSTOMER THAT AN ABBOTT REPRESENTATIVE WILL SCHEDULE A SERVICE VISIT WHEN THE INSTRUMENT LABEL IS AVAILABLE FOR APPLICATION AS WELL AS THE NECESSARY ACTIONS UNTIL THE LABEL IS APPLIED. H3 OTHER TEXT : INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION.

Additional Manufacturer Narrative · 0

THIS MDR IS BEING SUBMITTED TO CORRECT A STATEMENT PREVIOUSLY POPULATED IN THE H10- ADDITIONAL MFG NARRATIVE SECTION OF THE INITIAL REPORT. THE REPORT INADVERTENTLY INCLUDED ¿A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION.¿ THIS STATEMENT IS BEING CORRECTED TO ¿NO SUPPLEMENTAL REPORT IS REQUIRED AS INVESTIGATIONAL FINDINGS WILL BE REPORTED UNDER CORRECTION/REMOVAL REPORT NUMBER 1415939-10/31/23-001-C WHEN THE INFORMATION IS AVAILABLE.¿ NO FURTHER INFORMATION WILL BE PROVIDED UNDER THIS MANUFACTURER REPORT NUMBER.

Description of Event or Problem · 0

A GLOBAL ASSESSMENT WAS PERFORMED FOLLOWING THE IDENTIFICATION THAT THE ABBOTT ALINITY S SYSTEM CONTAINS A DRY NATURAL RUBBER (LATEX) SUBCOMPONENT, WHICH IS NOT LABELED AS CONTAINING DRY NATURAL RUBBER (LATEX), TO DETERMINE IF THERE IS ANY IMPACT ON OTHER ABBOTT PRODUCTS. THE GLOBAL ASSESSMENT IDENTIFIED THE CELL-DYN SAPPHIRE AND CELL-DYN RUBY CONTAIN A LATEX SUBCOMPONENT AND IS NOT LABELED AS CONTAINING LATEX. DIRECT CONTACT WITH THESE COMPONENTS HAS THE POTENTIAL TO CAUSE ALLERGIC REACTIONS. THERE HAS BEEN NO REPORTED ADVERSE IMPACT OR HARM TO THE USER/OPERATOR AS A RESULT OF THIS ISSUE TO THE DATE.

Description of Event or Problem · 0

A GLOBAL ASSESSMENT WAS PERFORMED FOLLOWING THE IDENTIFICATION THAT THE ABBOTT ALINITY S SYSTEM CONTAINS A DRY NATURAL RUBBER (LATEX) SUBCOMPONENT, WHICH IS NOT LABELED AS CONTAINING DRY NATURAL RUBBER (LATEX), TO DETERMINE IF THERE IS ANY IMPACT ON OTHER ABBOTT PRODUCTS. THE GLOBAL ASSESSMENT IDENTIFIED THE CELL-DYN SAPPHIRE AND CELL-DYN RUBY CONTAIN A LATEX SUBCOMPONENT AND IS NOT LABELED AS CONTAINING LATEX. DIRECT CONTACT WITH THESE COMPONENTS HAS THE POTENTIAL TO CAUSE ALLERGIC REACTIONS. THERE HAS BEEN NO REPORTED ADVERSE IMPACT OR HARM TO THE USER/OPERATOR AS A RESULT OF THIS ISSUE TO THE DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
104011 CELL-DYN RUBY SYSTEM COUNTER, DIFFERENTIAL CELL GKZ ABBOTT LABORATORIES 00380740017170

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown