BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CLINICAL CHEMISTRY ALKALINE PHOSPHATASE REAGENT

    MDR report key: 2246833 · Received September 13, 2011

    Report

    Report Number
    1628664-2011-00605
    Event Type
    Malfunction
    Date Received
    September 13, 2011
    Report Date
    July 26, 2011
    Manufacturer
    ABBOTT MANUFACTURING INC
    Product Code
    CJE
    PMA / PMN Number
    K981806
    Removal / Correction Number
    1628664-8/29/11-001-R
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    BR
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    NO CONSEQUENCES OR IMPACT TO PATIENT (B)(4): CONTAMINATION DURING USE(B)(4). THE CAUSE OF THE CLINICAL CHEMISTRY ALKALINE PHOSPHATASE REAGENTS FAILED TO CALIBRATE/GENERATE RESULTS WAS DUE TO VISIBLE PARTICULATE OR VISIBLE MOLD IN THE REAGENT CARTRIDGES. ABBOTT ISSUED A PRODUCT RECALL LETTER TO ALL CUSTOMERS TO INFORM THEM TO DISCONTINUE USE AND TO DISCARD/DESTROY ANY SUSPECT CARTRIDGES AND ORDER REPLACEMENT REAGENTS.

    Description of Event or Problem · 1

    THE CUSTOMER OBSERVED FUNGUS IN THE CLINICAL CHEMISTRY ALKALINE PHOSPHATASE REAGENT WEDGES UPON OPENING THE REAGENT KIT. THE CUSTOMER EXAMINED THE REAGENT UNDER THE MICROSCOPE AND CONFIRMED THE PRESENCE OF FUNGUS IN THE REAGENT. THERE WAS NO IMPACT TO PATIENT MANAGEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CLINICAL CHEMISTRY ALKALINE PHOSPHATASE REAGENT CJE ABBOTT MANUFACTURING INC 71628UN10

    Patients

    Seq Age Sex Outcome Treatment
    1 ARCHITECT C8000 ANALYZER, LIST # 1G06-01| SERIAL # (B)(4)