FDA Adverse Event Malfunction Summary report: N

ARCHITECT IVANCOMYCIN

MDR report key: 1862066 · Received October 8, 2010

Report

Report Number
3002809144-2010-00025
Event Type
Malfunction
Date Received
October 8, 2010
Date of Event
October 13, 2009
Report Date
September 22, 2010
Manufacturer
ABBOTT GERMANY
Product Code
LEH
PMA / PMN Number
K072036
Removal / Correction Number
3002809144-9/15/10-001-C
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4), EVALUATION, CONCLUSION: SAMPLE HANDLING IS BELIEVED TO BE A CONTRIBUTING FACTOR. ADDITIONAL REQUIREMENTS FOR CENTRIFUGATION HAVE ALSO BEEN ADDED TO THE HANDLING INSTRUCTIONS. THERE IS A POTENTIAL TO GENERATE FALSELY ELEVATED ARCHITECT IVANCOMYCIN PATIENT RESULTS DUE TO SAMPLE OR SAMPLE HANDLING ISSUES CAUSING INTERFERENCE. IN RESPONSE TO THE ISSUE A PRODUCT CORRECTION WAS INITIATED. ALL CURRENT CUSTOMERS WHO HAVE RECEIVED THE ARCHITECT IVANCOMYCIN ASSAY WERE SENT THE PRODUCT CORRECTION LETTER WITH SPECIFIC INSTRUCTIONS TO CONTINUE FOLLOWING ALL SAMPLE HANDLING INSTRUCTIONS PER THE PACKAGE INSERT AND TO FOLLOW THE ADDITIONAL CENTRIFUGATION INSTRUCTIONS INCLUDED IN THE PRODUCT CORRECTION LETTER. NEW CUSTOMERS WILL RECEIVE THE INFORMATION IN THE FORM OF A PRODUCT INFORMATION LETTER DISTRIBUTED WITH THE PRODUCT.

Additional Manufacturer Narrative · 1

THE INVESTIGATION FOR FIELD ACTION FA13SEP2010 DETERMINED THE ROOT CAUSE OF ARCHITECT IVANCOMYCIN (LIST NUMBER 01P30-25) FOR FALSELY ELEVATED RESULTS IS DUE TO THE TRACER DILUENT FORMULATION. THE FORMULATION DOES NOT ADEQUATELY PROTECT AGAINST SPECIMEN CONTAMINATION. THE INVESTIGATION DETERMINED, AND SUBSEQUENT VERIFICATION CONFIRMED, A CHANGE TO THE CONJUGATE DILUENT WILL CORRECT THE ISSUE RELATED TO FALSELY ELEVATED RESULTS DUE TO CONTAMINATION, AND WILL ELIMINATE THE NEED FOR CUSTOMERS TO PERFORM ADDITIONAL SAMPLE CENTRIFUGATION AS INSTRUCTED IN PRODUCT CORRECTION LETTER OF FA13SEP2010. A PRODUCT INFORMATION LETTER REGARDING THIS NEW REAGENT WAS ISSUED ON (B)(4), 2012 INFORMING EX-US CUSTOMERS THAT THE NEW REAGENT FORMULATION, LIST NUMBER 1P30-27 WILL BE AVAILABLE (B)(4), 2012. THE ADDITIONAL SAMPLE CENTRIFUGATION AS INSTRUCTED IN PRODUCT CORRECTION LETTER OF FA13SEP2010 WILL CONTINUE TO BE FOLLOWED BY US CUSTOMERS. SUBMISSION FOR THE US 510K CLEARANCE OF THE NEW PRODUCT WILL OCCUR THE (B)(4) OF 2012.

Description of Event or Problem · 1

AS PART OF THE EVALUATION FOR ARCHITECT VANCOMYCIN, THE ABBOTTLINK DATA WAS REVIEWED FOR INFORMATION THAT MAY BE RELATED TO THE PRODUCT CORRECTION FOR THIS ASSAY. IT WAS DETERMINED THAT THIS CUSTOMER DID HAVE RELATED DISCREPANT VANCOMYCIN RESULTS GENERATED ON THE ARCHITECT. AN EVALUATION HAS DETERMINED THAT THIS IS A POTENTIAL FOR THE ARCHITECT VANCOMYCIN ASSAY TO GENERATE FALSELY ELEVATED RESULTS DUE TO SAMPLE OR SAMPLE HANDLING ISSUES CAUSING INTERFERENCE. IN RESPONSE TO THIS ISSUE, A PRODUCT CORRECTION LETTER WAS SENT TO THE CUSTOMER. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARCHITECT IVANCOMYCIN FOR THE MEASUREMENT OF VANCOMYCIN IN HUMAN SERUM OR PLASMA LEH ABBOTT GERMANY

Patients

Seq Age Sex Outcome Treatment
1 ARCH I1000SR, 1L86-01, (B)(4)