FDA Adverse Event Malfunction Summary report: N

ARCHITECT TOTAL B-HCG

MDR report key: 2325811 · Received November 6, 2011

Report

Report Number
3005094123-2011-00520
Event Type
Malfunction
Date Received
November 6, 2011
Report Date
September 7, 2011
Manufacturer
A.I.D.D LONGFORD
Product Code
DHA
PMA / PMN Number
K983424
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). WITH A UNIQUE COMBINATION OF INSTRUMENT AND REAGENT CONDITIONS THERE IS A POTENTIAL FOR SAMPLE CARRYOVER WHICH CAN RESULT IN FALSELY ELEVATED B-HCG CONCENTRATIONS ON THE ARCHITECT I1000SR SYSTEM. NEGATIVE SAMPLES HAVE RETURNED BOTH POSITIVE AND GREY ZONE B-HCG RESULTS WHEN A HIGH CONCENTRATION B-HCG SAMPLE IS ASSESSED PRIOR TO THE NEGATIVE SAMPLE WITH ARCHITECT TOTAL B-HCG (LIST NUMBER 7K78/6C21) ON AN I1000SR INSTRUMENT WHICH ALSO UTILIZES THE ARCHITECT RUBELLA IGG (LIST NUMBER 6C17) ASSAY. THE INVESTIGATION DETERMINED THAT FALSELY ELEVATED B-HCG RESULTS OCCURRED DUE TO CARRYOVER ON THE ARCHITECT I1000SR PLATFORM WHEN THE FOLLOWING THREE STEPS OCCUR: RUBELLA ANCILLARY DILUENT HAS BEEN ASPIRATED BY THE REAGENT PROBE; A HIGH CONCENTRATION B-HCG SAMPLE IS THEN ASPIRATED BY THE REAGENT PROBE; REAGENT PROBE ASPIRATES A NEGATIVE SAMPLE OR B-HCG CONJUGATE FOLLOWED BY A B-HCG NEGATIVE SAMPLE. CARRYOVER ON THE ARCHITECT I1000SR ONLY OCCURS WHEN A HIGH CONCENTRATION B-HCG SAMPLE IS ASPIRATED AFTER THE ARCHITECT RUBELLA IGG (LN 6C17) ASSAY ANCILLARY DILUENT. (B)(4). CARRYOVER WAS ONLY OBSERVED ON THE ARCHITECT I1000 PLATFORM SERIES. REFORMULATION OF THE ARCHITECT RUBELLA IGG/ARCHITECT B-HCG ASSAYS WILL BE EVALUATED TO MITIGATE AGAINST THIS COMPONENT BINDING AND CARRYING HIGH B-HCG SAMPLES INTO LOW OR NEGATIVE B-HCG SAMPLES.

Description of Event or Problem · 1

THE CUSTOMER STATES THAT DISCREPANT RESULTS WERE GENERATED OVER A TWO HOUR PERIOD ON ONE PATIENT SAMPLE WITH THE ARCHITECT TOTAL BPHCG ASSAY: 8.54, 2.38, <7000 (476), <1.20 (0.88), <1.20 (0.70), <1.20 (0.75), <7000 (1.33), 19.05, 17.96, AND 8.14 MIU/ML.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARCHITECT TOTAL B-HCG DHA A.I.D.D LONGFORD

Patients

Seq Age Sex Outcome Treatment
1 ARCH I1000SR LN 01L86-01 SN (B)(4)