FDA Adverse Event Malfunction Summary report: N

ARCHITECT I2000SR ANALYZER

MDR report key: 2183242 · Received July 28, 2011

Report

Report Number
1628664-2011-00552
Event Type
Malfunction
Date Received
July 28, 2011
Date of Event
July 1, 2011
Report Date
July 6, 2011
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
JJE
PMA / PMN Number
K983212
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). EVALUATION IS IN PROCESS. A FINAL REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Additional Manufacturer Narrative · 1

WHILE TROUBLE SHOOTING THE ISSUE, THE CUSTOMER WAS INSTRUCTED TO REPLACE THE SAMPLE PROBE AND THE FALSE REACTIVE RESULT WAS NON-REACTIVE UPON REPEATING THE TEST. THE CUSTOMER REQUESTED ABBOTT SERVICE TO INSPECT THE ANALYZER. THE ANALYZER WAS INSPECTED, A GRAVIMETRIC DIAGNOSTIC PROCEDURE WAS PERFORMED TO INSPECT SOME PARTS OF THE ANALYZER AND THE PROCEDURE WAS ACCEPTABLE. THE DAILY MAINTENANCE PASSED AND THE QUALITY CONTROL RESULTS WERE WITHIN THE CUSTOMERS ESTABLISHED RANGES. A REVIEW OF THE TRENDING DATA DID NOT IDENTIFY A PRODUCT ISSUE OR ADVERSE TREND ASSOCIATED WITH THIS ISSUE. THE CUSTOMER, HOWEVER, WAS REFERRED TO THE OPERATORS MANUAL WHICH CONTAINED THE PROBABLE CAUSES AND CORRECTIVE ACTIONS FOR SUCH AN ISSUE (PROBE TIP IS BENT OR DAMAGED, PIPETTE PROBES ARE NOT STRAIGHT, PROBE IS NOT CORRECTLY POSITIONED). THE ARCHITECT CMV IGM ASSAY PACKAGE INSERT SUGGESTED ADDITIONAL TESTING OR USE OTHER DATA TO CONFIRM THE RESULTS. BASED ON THE EVALUATION RESULTS, NO PRODUCT DEFICIENCY WAS IDENTIFIED RELATED TO THIS ISSUE.

Description of Event or Problem · 1

THE CUSTOMER STATED THAT THE PATIENT SAMPLE ID (B)(6) OF GENERATED A FALSE POSITIVE RESULT OF 15.15 S/CO FOR THE ARCHITECT CMV-IGM ASSAY. THE SAME PATIENT SAMPLE WAS RETESTED ON A LATER DATE AND THE SAME INSTRUMENT AFTER REPLACING THE SAMPLE PROBE WITH A NEGATIVE RESULT. NO IMPACT TO PATIENT MANAGEMENT WAS 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 CMV IGM (B)(4)| CMV IGM (B)(4)