FDA Adverse Event Malfunction Summary report: N

ARCHITECT B12 REAGENT KIT

MDR report key: 20600937 · Received November 4, 2024

Report

Report Number
3005094123-2024-00573
Event Type
Malfunction
Date Received
November 4, 2024
Date of Event
October 16, 2024
Report Date
January 6, 2025
Manufacturer
ABBOTT IRELAND DIAGNOSTICS DIVISION
Product Code
CDD
UDI-DI
00380740014193
PMA / PMN Number
K121314
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. ALL AVAILABLE PATIENT INFORMATION WAS INCLUDED. ADDITIONAL PATIENT DETAILS ARE NOT AVAILABLE.

Additional Manufacturer Narrative · 0

SECTION D4 EXPIRATION DATE AND PRIMARY UDI NUMBER WAS UPDATED. 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 IN-HOUSE TESTING. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. A SEARCH FOR SIMILAR COMPLAINTS DID NOT IDENTIFY AN INCREASE IN COMPLAINT ACTIVITY FOR LOT 62127UD00. TRENDING REVIEW DID NOT IDENTIFY ANY TRENDS FOR THE ISSUE FOR THE PRODUCT. DEVICE HISTORY RECORD REVIEW DID NOT IDENTIFY ANY NONCONFORMANCES OR DEVIATIONS ASSOCIATED WITH LOT NUMBER 62127UD00 AND COMPLAINT ISSUE. IN-HOUSE ACCURACY TESTING WAS COMPLETED WITH COMPLAINT LOT NUMBER 62127UD00. TESTING MET VALIDITY AND ACCEPTANCE CRITERIA AND THE PRODUCT IS PERFORMING AS EXPECTED. LABELING WAS REVIEWED AND SUFFICIENTLY ADDRESSES THE CUSTOMER'S ISSUE. BASED ON OUR INVESTIGATION, NO SYSTEMIC ISSUE OR DEFICIENCY WITH THE ARCHITECT VITAMIN B12 FOR LOT 21075UI01 WAS IDENTIFIED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED DOCTORS QUESTIONING FALSELY HIGH ARCHITECT VITAMIN B12 RESULTS FOR MULTIPLE PATIENT SAMPLES. THE CUSTOMER STATED HIGH RESULTS OF > 2000 PG/ML WERE BEING GENERATED ACROSS 2 OF THEIR ANALYZERS. THE CUSTOMER SENT THE SAMPLES OUT TO ANOTHER LAB (REFERENCE LAB) AND THE B12 RESULT OF ONE SAMPLE CAME BACK AS 285 PG/ML. THE CUSTOMER¿S REFERENCE RANGE FOR B12 IS 213-816 PG/ML. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED DOCTORS QUESTIONING FALSELY HIGH ARCHITECT VITAMIN B12 RESULTS FOR MULTIPLE PATIENT SAMPLES. THE CUSTOMER STATED HIGH RESULTS OF 2000 PG/ML WERE BEING GENERATED ACROSS 2 OF THEIR ANALYZERS. THE CUSTOMER SENT THE SAMPLES OUT TO ANOTHER LAB (REFERENCE LAB) AND THE B12 RESULT OF ONE SAMPLE CAME BACK AS 285 PG/ML. THE CUSTOMER¿S REFERENCE RANGE FOR B12 IS 213-816 PG/ML. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2161256 ARCHITECT B12 REAGENT KIT RADIOASSAY, VITAMIN B12 CDD ABBOTT IRELAND DIAGNOSTICS DIVISION 62127UD00 00380740014193

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown ARC I2000SR INST, 03M74-02, (B)(6)| ARC I2000SR INST, 03M74-02, (B)(6)| ARC I2000SR INST, 03M74-02, (B)(6)| ARC I2000SR INST, 03M74-02, (B)(6)