FDA Adverse Event Malfunction Summary report: N

ARCHITECT I2000SR ANALYZER

MDR report key: 1920036 · Received December 10, 2010

Report

Report Number
1628664-2010-00473
Event Type
Malfunction
Date Received
December 10, 2010
Date of Event
December 9, 2010
Report Date
December 9, 2010
Manufacturer
ABBOTT MANUFACTURING, INC.
Product Code
JJE
PMA / PMN Number
K983212
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
MEDICAL TECHNOLOGIST

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). THE CUSTOMER WAS CONCERNED WITH ASPIRATION AND WASH ZONE ERRORS WITH ERRATIC TROPONIN- I RESULTS BEING GENERATED ON THE ARCHITECT I2000SR ANALYZER. AN ABBOTT TECHNICAL APPLICATION SPECIALIST (TAS) REVIEWED THE MESSAGE HISTORY LOG AND FOUND MANY STAT PROBE OBSTRUCTION ERRORS AND WASH ZONE 2 ASPIRATION ERRORS. THE STAT PROBE HAD NOT BEEN REPLACED SINCE (B)(4) 2010. A REVIEW OF CUSTOMER MAINTENANCE LOGS REVEALED THAT THE LAST MAINTENANCE DOCUMENTATION WAS MADE IN (B)(4) 2010. THE TAS SUGGESTED THE CUSTOMER REPLACE THE STAT PROBE. ABBOTT FIELD SERVICE (FSR) WAS REQUESTED TO REPLACE THE PROBE, CHECK THE INSTRUMENT AND OPTIMIZE INSTRUMENT PERFORMANCE. THE FSR REPLACED THE PROBE TUBING ON PROBE #1 ON WASH ZONE 2. FURTHER INSTRUMENT EVALUATION FOUND THAT THE MOST LIKELY CAUSE OF THE CUSTOMER'S CURRENT ISSUE WAS A WEAK DRAIN VALVE ON WASH ZONE 2 VACUUM VESSEL WHICH CAUSED THE INSTRUMENT ERRORS. THE FSR REPLACED BOTH WASH ZONE 2 VACUUM VESSEL VALVES, AND THE WASH ZONE 2 PROBE TUBE SENSOR. LEAKING WASH ZONE MANIFOLDS WERE ALSO REPLACED. WASH ZONE ASPIRATION TESTS PASSED AND CONTROLS WERE WITHIN RANGE AND THE SYSTEM WAS PERFORMING WITHIN SPECIFICATIONS. A REVIEW OF COMPLAINT TRACKING AND TRENDING METRICS WAS PERFORMED AND IDENTIFIED NO ADVERSE TRENDS IN CONJUNCTION WITH THE COMPLAINT ISSUE CURRENTLY UNDER EVALUATION. THE ARCHITECT SYSTEM OPERATIONS MANUAL (PN 201837-108) JANUARY, 2010 AND THE ARCHITECT STAT TROPONIN-I PACKAGE INSERT ((B)(4)) BOTH CONTAIN INFORMATION TO ADDRESS THE CUSTOMER'S CURRENT ISSUE. REVIEW OF COMPLAINT TRACKING AND TRENDING; FIELD SERVICE INTERVENTION.

Description of Event or Problem · 1

THE CUSTOMER STATES THAT ONE PATIENT SAMPLE KNOWN TO BE NEGATIVE FOR TROPONIN-I, GENERATED ARCHITECT STAT TROPONIN-I ASSAY RESULTS IN THE RANGE OF 0.00 TO 0.16 UG/L (N=7) ON THE ARCHITECT I2000SR ANALYZER. THE CUSTOMER USES A TROPONIN-I CUTOFF VALUE OF 0.06 UG/ML. THE CUSTOMER DID NOT HAVE ANY FURTHER PATIENT INFORMATION. ABBOTT CONTROL MATERIALS HAVE BEEN WITHIN SPECIFICATIONS ON ALL RUNS. THE CUSTOMER NOTED THAT THE ANALYZER'S STAT PROBE HAD NOT BEEN REPLACED SINCE JULY 2010. ALSO THE MESSAGE HISTORY LOG OF THE ANALYZER SHOWED STAT PROBE OBSTRUCTION ERRORS. THE CUSTOMER USES LITHIUM HEPARIN IN THE COLLECTION TUBES AND DOUBLE CENTRIFUGES ALL SAMPLES. A SERVICE CALL WAS INITIATED. TO DATE, NO INFORMATION HAS BEEN PROVIDED CONCERNING PATIENT MANAGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARCHITECT I2000SR ANALYZER AUTOMATED IMMUNOASSAY ANALYZER JJE ABBOTT MANUFACTURING, INC.

Patients

Seq Age Sex Outcome Treatment
1 ARCH STAT TROPONIN-I LN: 2K41| ARCH STAT TROPONIN-I LN: 2K41