FDA Adverse Event Malfunction Summary report: N

ARCHITECT ANTI-HBS REAGENT KIT

MDR report key: 20192885 · Received September 11, 2024

Report

Report Number
3008344661-2024-00113
Event Type
Malfunction
Date Received
September 11, 2024
Date of Event
February 23, 2024
Report Date
January 27, 2025
Manufacturer
ABBOTT IRELAND DIAGNOSTICS DIVISION
Product Code
LOM
UDI-DI
00380740138080
PMA / PMN Number
P050051
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CORRECTED DATA FOUND IN SECTION H6 MEDICAL DEVICE PROBLEM CODE, CHANGED FROM A090804 TO A090809.

Additional Manufacturer Narrative · 0

AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Additional Manufacturer Narrative · 0

THE COMPLAINT INVESTIGATION INCLUDED A REVIEW OF DATA AND INFORMATION PROVIDED BY THE CUSTOMER, SEARCH FOR SIMILAR COMPLAINTS, TICKET TRENDING REVIEW, LABELING REVIEW, DEVICE HISTORY RECORD REVIEW, AND FIELD DATA REVIEW. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. DATA AND INFORMATION PROVIDED BY THE CUSTOMER WERE REVIEWED AND SUPPORT THE COMPLAINT ISSUE WITHOUT INDICATION FOR ANY ADDITIONAL ISSUE. THE TICKET SEARCH BY LOT INDICATES THAT THE COMPLAINT LOT PERFORMS AS EXPECTED FOR THIS PRODUCT. TICKET TRENDING REVIEW DID NOT IDENTIFY ANY TRENDS. DEVICE HISTORY REVIEW DID NOT IDENTIFY ANY NON-CONFORMANCES OR DEVIATIONS WITH THE COMPLAINT LOT. THE OVERALL PERFORMANCE OF THE ARCHITECT ANTI-HBS REAGENTS IN THE FIELD WAS REVIEWED USING DATA GATHERED FROM CUSTOMERS WORLDWIDE. THE PATIENT MEDIAN VALUES OBTAINED WITH THE COMPLAINT LOT 58537FN00 IS WITHIN ESTABLISHED LIMITS AND THUS COMPARABLE TO THE HISTORICAL LOT PERFORMANCE, WHICH CONFIRMS NO SYSTEMIC ISSUE FOR THE LOT. LABELING WAS REVIEWED AND SUFFICIENTLY ADDRESSES THE CUSTOMER¿S ISSUE. BASED ON THE INVESTIGATION, NO SYSTEMIC ISSUE OR DEFICIENCY OF THE ARCHITECT ANTI-HBS REAGENT LOT 58537FN00 WAS IDENTIFIED.

Additional Manufacturer Narrative · 0

CORRECTED DATA FOUND IN SECTION D4 CATALOG # AND LOT #.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED A FALSE REACTIVE ARCHITECT ANTI-HBS RESULT FOR ONE SAMPLE. THE FOLLOWING DATA WAS PROVIDED: ON (B)(6) 2024, SID (B)(6) ANTI-HBS 12.03 MIU/ML (REFERENCE RANGE 0-10 MIU/ML), OTHER RESULTS PROVIDED: HBSAG 0.18 S/CO (NONREACTIVE), ANTI-HBC 0.12 S/CO (NONREACTIVE). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED A FALSE REACTIVE ARCHITECT ANTI-HBS RESULT FOR ONE SAMPLE. THE FOLLOWING DATA WAS PROVIDED: (B)(6) 2024 SID (B)(6) ANTI-HBS 12.03 MIU/ML (REFERENCE RANGE 0-10 MIU/ML), OTHER RESULTS PROVIDED: HBSAG 0.18 S/CO (NONREACTIVE), ANTI-HBC 0.12 S/CO (NONREACTIVE). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED A FALSE REACTIVE ARCHITECT ANTI-HBS RESULT FOR ONE SAMPLE. THE FOLLOWING DATA WAS PROVIDED: ON (B)(6)2024 SID CC (B)(6) ANTI-HBS 12.03 MIU/ML (REFERENCE RANGE 0-10 MIU/ML), OTHER RESULTS PROVIDED: HBSAG 0.18 S/CO (NONREACTIVE), ANTI-HBC 0.12 S/CO (NONREACTIVE). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED A FALSE REACTIVE ARCHITECT ANTI-HBS RESULT FOR ONE SAMPLE. THE FOLLOWING DATA WAS PROVIDED: (B)(6) 2024 SID (B)(6). ANTI-HBS 12.03 MIU/ML (REFERENCE RANGE 0-10 MIU/ML), OTHER RESULTS PROVIDED: HBSAG 0.18 S/CO (NONREACTIVE), ANTI-HBC 0.12 S/CO (NONREACTIVE). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1584733 ARCHITECT ANTI-HBS REAGENT KIT TEST, HEPATITIS B (B CORE, BE ANTIGEN, BE ANTIBODY, B CORE IGM) LOM ABBOTT IRELAND DIAGNOSTICS DIVISION 58537FN00 00380740138080

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown ARC I1000SR INTGR, 01L86-40, (B)(6)| ARC I1000SR INTGR, 01L86-40, (B)(6)| ARC I1000SR INTGR, 01L86-40, (B)(6)| ARC I1000SR INTGR, 01L86-40, (B)(6)