FDA Adverse Event Malfunction Summary report: N

ARCHITECT C8000 SYSTEM

MDR report key: 1913080 · Received December 2, 2010

Report

Report Number
1628664-2010-00450
Event Type
Malfunction
Date Received
December 2, 2010
Date of Event
November 30, 2010
Report Date
December 1, 2010
Manufacturer
ABBOTT MANUFACTURING, INC.
Product Code
JGS
PMA / PMN Number
K980367
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). AN INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative · 1

(B)(4). AN ABBOTT FIELD SERVICE ENGINEER (FSE) VISITED THE CUSTOMER SITE AND FOUND THE INTEGRATED CHIP TECHNOLOGY (ICT) PROBE WAS BENT. THE ICT PROBE WAS REPLACED AND THE ICT MODULE WAS ALIGNED. SUBSEQUENT INSTRUMENT OPERATIONS AND TEST RESULTS WERE ACCEPTABLE. COMPLAINT ACTIVITY WAS REVIEWED AND IDENTIFIED NO ADVERSE TRENDS IN ASSOCIATION WITH THE ISSUE CURRENTLY UNDER EVALUATION. THE ICT SAMPLE DILUENT PACKAGE INSERT ((B)(4)) AND THE ARCHITECT SYSTEMS OPERATIONS MANUAL ((B)(4)) CONTAIN INFORMATION TO ADDRESS THE CUSTOMER'S CURRENT ISSUE (THE OPERATIONS MANUAL DOES NOT PROVIDE ICT PROBE ALIGNMENT PROCEDURES FOR CUSTOMER USE). BASED ON THE AVAILABLE INFORMATION, A BENT ICT PROBE IS THE MOST LIKELY CAUSE FOR THE DISCREPANT RESULTS. CUSTOMER AND FIELD SERVICE ACTIONS TAKEN TO RESOLVE THE ISSUE ARE CONSISTENT WITH TROUBLESHOOTING INFORMATION PROVIDED IN THE ARCHITECT OPERATIONS MANUAL. REVIEW OF COMPLAINT TRACKING AND TRENDING; CUSTOMER AND FIELD SERVICE INTERVENTION.

Description of Event or Problem · 1

THE CUSTOMER STATES THAT PATIENT RESULTS WERE REPORTED OUT AS "CRITICAL" FOR ELECTROLYTES TESTED ON THE ARCHITECT C8000 ANALYZER AND WHEN RETESTED ON A BACK-UP ARCHITECT C8000 ANALYZER (SN (B)(4)), RESULTS WERE WITHIN THE LAB'S NORMAL REFERENCE RANGES. THE CUSTOMER PROVIDED THE FOLLOWING: INITIAL: SODIUM <100, 103L; RETEST: 141 MMOL/L; POTASSIUM 3.3, 3.9 MMOL/L; CHLORIDE 91, 106 MMOL/L; THE CUSTOMER USES THE FOLLOWING NORMAL REFERENCES RANGES: SODIUM 136 TO 145 MMOL/L; POTASSIUM 3.5 TO 5.1 MMOL/L; CHLORIDE 98 TO 110 MMOL/L; CONTROLS HAVE REMAINED WITHIN SPECIFICATIONS. THE CUSTOMER WOULD PROVIDE NO PATIENT INFORMATION. THERE IS NO IMPACT TO PATIENT MANAGEMENT REPORTED. A SERVICE CALL WAS INITIATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARCHITECT C8000 SYSTEM AUTOMATED CHEMISTRY ANALYZER JGS ABBOTT MANUFACTURING, INC.

Patients

Seq Age Sex Outcome Treatment
1 AERO C8K ICT MOD LN: 9D28-03 LOT: 100917| AERO C8K ICT MOD LN: 9D28-03 LOT: 100917