FDA Adverse Event Malfunction Summary report: N

ARCHITECT C8000 SYSTEM

MDR report key: 2042657 · Received April 6, 2011

Report

Report Number
1628664-2011-00143
Event Type
Malfunction
Date Received
April 6, 2011
Report Date
March 14, 2011
Manufacturer
ABBOTT MANUFACTURING, INC.
Product Code
JJE
PMA / PMN Number
K980367
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

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). REVIEW OF THE ARCHITECT C8000 SYSTEM LOGS DID NOT IDENTIFY ANY ISSUES. CONTROLS WERE WITHIN RANGE FOLLOWING TROUBLESHOOTING, BUT PATIENT RESULTS WERE STILL ERRATIC. FIELD SERVICE DISCOVERED THAT THE AMOUNT OF WATER USED FOR CLEANING THE REAGENT PROBE WAS TOO SMALL AND ADJUSTED THE FLOW. PROPER OPERATION OF THE SYSTEM WAS VERIFIED AFTER ADJUSTING THE WATER FLOW TO THE REAGENT PROBE. QUALITY METRICS AND COMPLAINT TRACKING AND TRENDING WAS REVIEWED. NO ADVERSE TRENDS WERE IDENTIFIED RELATED TO DISCREPANT RESULTS. THE CURRENT COMBINED ERRATIC RESULT RATE FOR AEROSET AND ARCHITECT INSTRUMENTS FALLS BELOW THE ESTABLISHED INTERNAL ABERRANT RESULT RATE FOR ARCHITECT C8000 ESTABLISHED AT PRODUCT LAUNCH. BASED ON THE AVAILABLE INFORMATION, A DEFICIENCY OF THE ARCHITECT C8000 SYSTEM WAS NOT IDENTIFIED.

Description of Event or Problem · 1

THE CUSTOMER STATED THAT FALSELY ELEVATED ARCHITECT MAGNESIUM RESULTS WERE GENERATED FOR PATIENT SAMPLES. AN INITIAL ELEVATED RESULT OF 2.63 MMOL/L RETESTED AT 0.74 MMOL/L. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 MAGNESIUM LIST 7D70-21, LOT 40935UN10| MAGNESIUM LIST 7D70-21, LOT 40935UN10