FDA Adverse Event Malfunction Summary report: N

ARCHITECT CA19-9XR

MDR report key: 23435133 · Received October 31, 2025

Report

Report Number
3002809144-2025-00342
Event Type
Malfunction
Date Received
October 31, 2025
Date of Event
July 7, 2025
Report Date
November 24, 2025
Manufacturer
ABBOTT GMBH
Product Code
NIG
UDI-DI
00380740137168
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER 02K91-32 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER 02K91-33, WITH 510K/PMA/BLA NUMBER K052000. AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Additional Manufacturer Narrative · 0

CORRECTION TO SECTION B3 - DATE OF EVENT. THIS WAS CORRECTED FROM 05JUL2025 TO 07JUL2025. THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER 02K91-32 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER 02K91-33, WITH 510K/PMA/BLA NUMBER K052000. AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Additional Manufacturer Narrative · 0

THE DATA AND INFORMATION PROVIDED BY THE CUSTOMER WERE REVIEWED AND SUPPORT THE COMPLAINT ISSUE. A REVIEW OF TRACKING AND TRENDING FOR THE ARCHITECT CA 19-9XR ASSAY DID NOT IDENTIFY ANY RELATED TRENDS. ADDITIONALLY, A TICKET SEARCH BY LOT DID NOT IDENTIFY AN INCREASE IN COMPLAINT ACTIVITY. A REVIEW OF THE DEVICE HISTORY RECORD DID NOT IDENTIFY ANY NON-CONFORMANCES OR DEVIATIONS WITH LOT 74577FP00 AND THE COMPLAINT ISSUE. THE OVERALL PERFORMANCE OF THE ARCHITECT CA 19-9XR REAGENTS WAS REVIEWED USING FIELD DATA FROM CUSTOMERS WORLDWIDE. THE PATIENT¿S DATA WAS ANALYZED AND COMPARED TO AN ESTABLISHED CONTROL LIMIT. THIS EVALUATION INDICATED THAT THE PATIENT MEDIAN RESULT FOR LOT 74577FP00 IS WITHIN THE ESTABLISHED CONTROL LIMITS. THEREFORE, NO UNUSUAL REAGENT LOT PERFORMANCE WAS IDENTIFIED FOR 74577FP00. A REVIEW OF LABELING WAS PERFORMED AND FOUND TO SUFFICIENTLY ADDRESS THE CUSTOMER'S ISSUE. IN THIS CASE, THE PATIENT RESULTS OBTAINED ON THE ARCHITECT WERE BEING COMPARED AGAINST PATIENT RESULTS FROM ANOTHER METHOD, AND PER THE PACKAGE INSERT, THIS IS NOT ALLOWED. BASED ON THE INVESTIGATION, ARCHITECT CA 19-9XR, LOT 74577FP00 IS PERFORMING AS INTENDED. NO SYSTEMIC ISSUE OR DEFICIENCY OF THE ARCHITECT CA 19-9XR REAGENT WAS IDENTIFIED.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED FALSELY ELEVATED ARCHITECT CA 19-9XR FOR A FEMALE PATIENT UNDERGOING CHEMOTHERAPY. THE FOLLOWING RESULTS WERE PROVIDED: SID (B)(6), INITIAL CA 19-9 RESULT= 113.98 U/ML; REPEAT RESULTS= 149.32 U/ML, 144.61 U/ML SAMPLE WAS TESTING ON THE ALINITY SYSTEM FOR TROUBLESHOOTING PURPOSES ONLY, RESULTS= 133 U/ML REPEAT RESULT (ROCHE ANALYZER) = 34.7 U/ML AND 32.8 U/ML (NORMAL RANGE) REPEAT RESULT (SIEMENS ANALYZER) = 42.7 U/ML (GRAY ZONE). HISTORICAL RESULTS WITH ARCHITECT ANALYZER: ON (B)(6) 2025, RESULT= 126.20 U/ML , ON (B)(6) 2025, RESULT= 129.93 U/ML, ON (B)(6) 2025, RESULT= 121.91 U/ML, ON (B)(6) 2025, RESULT= 126.94 U/ML, ON (B)(6) 2025, RESULT= 101.97 U/ML , ON (B)(6) 2025, RESULT= 100.72 U/ML, ON (B)(6) 2025, RESULT= 128.33 U/ML; REPEAT RESULT= 130.32 U/ML, THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED FALSELY ELEVATED ARCHITECT CA 19-9XR FOR A FEMALE PATIENT UNDERGOING CHEMOTHERAPY. THE FOLLOWING RESULTS WERE PROVIDED: SID (B)(6), INITIAL CA 19-9 RESULT= 113.98 U/ML; REPEAT RESULTS= 149.32 U/ML, 144.61 U/ML. SAMPLE WAS TESTING ON THE ALINITY SYSTEM FOR TROUBLESHOOTING PURPOSES ONLY, RESULTS= 133 U/ML. REPEAT RESULT (ROCHE ANALYZER) = 34.7 U/ML AND 32.8 U/ML (NORMAL RANGE). REPEAT RESULT (SIEMENS ANALYZER) = 42.7 U/ML (GRAY ZONE). HISTORICAL RESULTS WITH ARCHITECT ANALYZER: (B)(6) 2025, RESULT= 126.20 U/ML, (B)(6) 2025, RESULT= 129.93 U/ML, (B)(6) 2025, RESULT= 121.91 U/ML, (B)(6) 2025, RESULT= 126.94 U/ML, (B)(6) 2025, RESULT= 101.97 U/ML, (B)(6) 2025, RESULT= 100.72 U/ML, (B)(6) 2025, RESULT= 128.33 U/ML; REPEAT RESULT= 130.32 U/ML, THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
165094 ARCHITECT CA19-9XR SYSTEM, TEST, CARBOHYDRATE AG (CA19-9), FOR MONIT AND MGMT OF PANCREATIC CANCER NIG ABBOTT GMBH 74577FP00 00380740137168

Patients

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