FDA Adverse Event Malfunction Summary report: N

CELL-DYN EMERALD

MDR report key: 2043979 · Received April 7, 2011

Report

Report Number
2919069-2011-00116
Event Type
Malfunction
Date Received
April 7, 2011
Report Date
February 18, 2011
Manufacturer
ABBOTT DIAGNOSTICS DIVISION
Product Code
GKZ
PMA / PMN Number
K081495
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). CONCOMITANT MEDICAL PRODUCTS: CELL-DYN EMERALD CLEANER MANUFACTURED 8/10/10, EXPIRES 6/18/12. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE. AN INVESTIGATION IS IN PROCESS.

Additional Manufacturer Narrative · 1

A PRODUCT DEFICIENCY WAS IDENTIFIED. THE INVESTIGATION DEMONSTRATED CONCLUSIVELY THAT ONLY CELL-DYN EMERALD CLEANER LOT 4349 WAS AFFECTED. THE ROOT CAUSE IS THE VENDOR (B)(4).

Description of Event or Problem · 1

THE CUSTOMER STATED RBC QUALITY CONTROLS WERE OUT OF RANGE LOW ON A CELL-DYN EMERALD ANALYZER USING CELL-DYN EMERALD CLEANER LOT 4349. THE CUSTOMER BLEACHED THE INSTRUMENT EVERY 2-3 DAYS TO RESOLVE THE ISSUE. THERE WAS NO ADVERSE IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CELL-DYN EMERALD AUTOMATED HEMATOLOGY ANALYZER GKZ ABBOTT DIAGNOSTICS DIVISION

Patients

Seq Age Sex Outcome Treatment
1 CELL-DYN EMERALD CLEANER LN 9H46 LOT 4349| CELL-DYN EMERALD CLEANER LN 9H46-02 LOT 4349