BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CELL-DYN SAPPHIRE VENT HEAD ASSEMBLY

    MDR report key: 1950007 · Received January 6, 2011

    Report

    Report Number
    2919069-2011-00008
    Event Type
    Malfunction
    Date Received
    January 6, 2011
    Report Date
    December 21, 2010
    Manufacturer
    ABBOTT DIAGNOSTICS DIVISION
    Product Code
    GKZ
    PMA / PMN Number
    D019916
    Removal / Correction Number
    2919069-7/26/10-005-R
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). CONCOMITANT MEDICAL DEVICE: CELL-DYN SAPPHIRE ANALYZER, LIST # 8H00-01, SERIAL # (B)(4). THE CAUSE OF THE CELL-DYN SAPPHIRE VENT NEEDLE ASPIRATION ERROR (UNDETECTED SHORT SAMPLE) WAS DUE TO A DEFECTIVE CELL-DYN VENT NEEDLE FROM THE SUPPLIER. A PRODUCT RECALL INFORMED ABBOTT CUSTOMERS TO DISCARD ANY CELL-DYN SAPPHIRE VENT HEAD ASSEMBLIES AND REPLACE WITH A NEW CELL-DYN SAPPHIRE VENT HEAD ASSEMBLY PROVIDED TO THE CUSTOMER WITH THE CUSTOMER RECALL LETTER.

    Description of Event or Problem · 1

    THE CUSTOMER STATED THE CELL-DYN SAPPHIRE ANALYZER GENERATED ASPIRATION PROBE FAILED TO HOME ERROR MESSAGES. THE CUSTOMER WAS ADVISED TO CYCLE THE ANALYZER POWER AND CHANGE THE PROBE, WHICH WAS UNSUCCESSFUL IN RESOLVING THE ISSUE. THE CUSTOMER WAS FURTHER ADVISED TO CHANGE THE VENT HEAD ASSEMBLY AND ASPIRATION PROBE WHICH RESOLVED THE ISSUE. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED BY THE CUSTOMER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CELL-DYN SAPPHIRE VENT HEAD ASSEMBLY VENT NEEDLE USED ON THE CELL-DYN ANALYZER GKZ ABBOTT DIAGNOSTICS DIVISION

    Patients

    Seq Age Sex Outcome Treatment
    1 CELL-DYN SAPPHIRE ANALYZER, LIST # 8H00-01