FDA Adverse Event Malfunction Summary report: N

ARCHITECT I2000SR ANALYZER

MDR report key: 2171883 · Received July 22, 2011

Report

Report Number
1628664-2011-00538
Event Type
Malfunction
Date Received
July 22, 2011
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
JJE
PMA / PMN Number
K983212
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4)

Additional Manufacturer Narrative · 1

AN INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE. NO KNOWN IMPACT OR CONSEQUENCE TO PATIENT. (B)(4). INCORRECT OR INADEQUATE RESULT.

Additional Manufacturer Narrative · 1

THE CUSTOMER REPLACED BOTH REAGENT 1 (R1) AND REAGENT (2) PROBES AND SWAPPED VORTEXERS 1 AND 3. AN ABBOTT FIELD SERVICE ENGINEER (FSE) AT THE SITE ALSO CLEANED VORTEXERS 1, 2 AND 3, CLEANED THE CUP LOADER/UNLOADER, REPLACED THE SYRINGE VALVE OF THE R1 PIPETTOR, REPLACED THE R1 AND R2 SAMPLE PROBES, CALIBRATED THE SAMPLE, R1, AND R2 SAMPLE PIPETTORS, AND PERFORMED DAILY MAINTENANCE. BASED UPON THE DATA AVAILABLE, AND THE RESULTS OF THIS EVALUATION OF THE ARCHITECT I2000SR SYSTEM, A SINGLE DEFINITIVE CAUSE FOR THE CUSTOMER'S ISSUE COULD NOT BE DETERMINED. NO PRODUCT DEFICIENCY OF THE ARCHITECT I2000SR INSTRUMENT WAS FOUND. A REVIEW OF COMPLAINT TRACKING AND TRENDING METRICS WAS PERFORMED AND IDENTIFIED NO ADVERSE TRENDS IN CONJUNCTION WITH THE COMPLAINT ISSUE CURRENTLY UNDER EVALUATION. THE ARCHITECT SYSTEM OPERATIONS MANUAL (PN 201837-108), JANUARY 2010 AND THE TOTAL BHCG PACKAGE INSERT (49-3364\R3) JUNE 2010 CONTAIN INFORMATION TO ADDRESS THE CUSTOMER'S CURRENT ISSUE. REVIEW OF COMPLAINT TRACKING AND TRENDING; FIELD SERVICE INTERVENTION.

Description of Event or Problem · 1

THE CUSTOMER STATES THAT ONE PATIENT SAMPLE GENERATED DISCREPANT RESULTS WHEN TESTED WITH THE ARCHITECT TOTAL B-HCG ASSAY ON THE ARCHITECT (B)(4) ANALYZER. THE SAMPLE GENERATED A POSITIVE RESULT OF 1500 MIU/ML. THE SAMPLE RE TESTED POSITIVE AT 750 MIU/ML. NO SUSPECT RESULTS WERE REPORTED FROM THE LAB. THERE IS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARCHITECT I2000SR ANALYZER JJE ABBOTT MANUFACTURING INC

Patients

Seq Age Sex Outcome Treatment
1 ARCHTOTBHCG LN:07K78-30 LOT:01918JN00| ARCH TOTAL B-HCG ASSAY LN: 7K78| ARCHTOTBHCG LN:07K78-30 LOT:01918JN00