FDA Adverse Event Malfunction Summary report: N

ARCHITECT C4000

MDR report key: 19806435 · Received July 23, 2024

Report

Report Number
3016438761-2024-00416
Event Type
Malfunction
Date Received
July 23, 2024
Date of Event
June 29, 2024
Report Date
July 24, 2024
Manufacturer
ABBOTT LABORATORIES
Product Code
JJE
UDI-DI
00380740003753
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AN ABBOTT FIELD SERVICE REPRESENTATIVE (FSR) WAS DISPATCHED DUE TO THE CUSTOMER REPORTING FALSELY DECREASED TOTAL BILIRUBIN (TBILI) RESULTS ON THE ARCHITECT C4000 PROCESSING MODULE, SERIAL NUMBER (B)(6). THROUGH AN EXTENSIVE INVESTIGATION, THE FSR FOUND THE BD., CRASH SENSOR REAGENT PIPETTOR (ROHS), PART NUMBER 7-93251-04, AND THE ROLLER GUIDE, RGT CRSL (ROHS), PART NUMBER 7-205320-02, NEEDED TO BE REPLACED, WHICH RESOLVED THE CUSTOMER¿S COMPLAINT. THERE HAVE BEEN NO FURTHER REPORTS OF DISCREPANT RESULTS REPORTED BY THE CUSTOMER SINCE THE CURRENT COMPLAINT. A REVIEW OF THE INSTRUMENT HISTORY REVEALED NO CONTRIBUTING FACTORS DESCRIBED IN THIS COMPLAINT. A REVIEW OF LABELING AND HISTORICAL DATA WAS DONE, AND BOTH WERE ADEQUATE, WITH NO TRENDS FOUND. BASED ON ALL AVAILABLE INFORMATION AND ABBOTT DIAGNOSTICS' COMPLAINT INVESTIGATION, NO SYSTEMIC ISSUE OR PRODUCT DEFICIENCY WAS IDENTIFIED.

Additional Manufacturer Narrative · 0

AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. SECTION A1 - PATIENT IDENTIFIER COMPLETE ENTRY = SAMPLE ID (B)(6) AND SAMPLE ID (B)(6) ALL AVAILABLE PATIENT INFORMATION WAS INCLUDED. ADDITIONAL PATIENT DETAILS ARE NOT AVAILABLE.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED FALSELY DECREASED TOTAL BILIRUBIN RESULTS FOR TWO PATIENTS ON AN ARCHITECT C4000 ANALYZER. THE FOLLOWING DATA WAS PROVIDED (CUSTOMER¿S NORMAL RANGE IS 0.2-1.2 MG/DL): SAMPLE ID (B)(6) INITIAL RESULT WAS <0.10, REPEAT RESULT WAS 3.05 MG/DL. SAMPLE ID (B)(6) INITIAL RESULT WAS <0.10, REPEAT RESULTS WERE 6.73 AND 6.72 MG/DL. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED FALSELY DECREASED TOTAL BILIRUBIN RESULTS FOR TWO PATIENTS ON AN ARCHITECT C4000 ANALYZER. THE FOLLOWING DATA WAS PROVIDED (CUSTOMER¿S NORMAL RANGE IS 0.2-1.2 MG/DL): SAMPLE ID (B)(6) INITIAL RESULT WAS <0.10, REPEAT RESULT WAS 3.05 MG/DL SAMPLE ID (B)(6) INITIAL RESULT WAS <0.10, REPEAT RESULTS WERE 6.73 AND 6.72 MG/DL. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1046404 ARCHITECT C4000 ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE ABBOTT LABORATORIES 00380740003753

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown CC TOTAL BILI (2750T), 06L45-22, (B)(6) | CC TOTAL BILI (2750T), 06L45-22, (B)(6)