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 |