ARCHITECT STAT MYOGLOBIN REAGENT KIT
Report
- Report Number
- 1415939-2024-00027
- Event Type
- Malfunction
- Date Received
- March 13, 2024
- Date of Event
- February 16, 2024
- Report Date
- March 13, 2024
- Manufacturer
- ABBOTT LABORATORIES
- Product Code
- DDR
- UDI-DI
- 00380740003302
- PMA / PMN Number
- K042924
- Removal / Correction Number
- 1415939-02/27/2024-001-R
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
DURING THE INVESTIGATION INTO THIS ISSUE FOUND THAT DURING MANUFACTURING, THE MICROPARTICLE CONCENTRATE USED IN REAGENT LOT NUMBER 50808UN23 WAS NOT PROPERLY MIXED. AS A RESULT, AN INSUFFICIENT AMOUNT OF MICROPARTICLES WAS ADDED TO REAGENT LOT 50808UN23. A PRODUCT RECALL LETTER WAS ISSUED ON 21FEB2024 TO ALL CUSTOMERS WHO HAVE RECEIVED SHIPMENTS OF ARCHITECT STAT MYOGLOBIN REAGENT LOT NUMBERS 50808UN23. THE PRODUCT RECALL LETTER NOTIFIES THE CUSTOMER OF THE ISSUE AND THE POTENTIAL IMPACT TO PATIENT RESULTS WITH USE OF LOT 50808UN23. THE PRODUCT RECALL LETTER INSTRUCTS CUSTOMERS TO DISCONTINUE USE OF AND DESTROY ANY REMAINING INVENTORY OF LOT 50808UN23 ACCORDING TO THEIR LABORATORY PROCEDURES AND IMMEDIATELY CONTACT CUSTOMER SUPPORT TO ORDER A REPLACEMENT PRODUCT.
THE CUSTOMER OBSERVED QUALITY CONTROLS RESULTS WERE OUT OF RANGE LOW WHILE USING ARCHITECT STAT MYOGLOBIN REAGENT LIST 02K43-25, LOT 50808UN23. FOLLOWING QC DATA WAS PROVIDED. L1 29.6 (20.7¿38.5) L2 89.6 (71.7¿107) L3 227 (182¿273) QC DATA FROM THE IMPACTED LOT AND DIFFERENT LOT 50808UN23 DIFFERENT NEW REAGENT L1 29.6 (20.7¿38.5) 24.0 L2 89.6 (71.7¿107) 76.5 L3 227 (182¿273) 175.2 THERE WAS NO IMPACT TO PATIENT MANAGEMENT OR USERS¿ SAFETY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 192172 | ARCHITECT STAT MYOGLOBIN REAGENT KIT | MYOGLOBIN, ANTIGEN, ANTISERUM, CONTROL | DDR | ABBOTT LABORATORIES | 50808UN23 | 00380740003302 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | ARC I1000SR MOD, 01L86-01, I1SR60965 |