FDA Adverse Event Malfunction Summary report: N

ARCHITECT I2000SR ANALYZER

MDR report key: 2441110 · Received February 7, 2012

Report

Report Number
1628664-2012-00043
Event Type
Malfunction
Date Received
February 7, 2012
Date of Event
February 1, 2012
Report Date
February 6, 2012
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
MMI
PMA / PMN Number
K983212
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

AN INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE. (B)(4): FALSE POSITIVE RESULT.

Additional Manufacturer Narrative · 1

THE CUSTOMER PERFORMED A PRECISION STUDY ON BOTH ARCHITECT ANALYZERS IN THE LAB AND BOTH GENERATED ACCEPTABLE RESULTS. THE CUSTOMER INDICATED THAT BOTH ANALYZERS ARE PERFORMING AS EXPECTED. THE EVALUATION REVIEWED ALL DATA RETURNED BY THE CUSTOMER AND VERIFIED THE FALSE POSITIVE STAT TROPONIN-I RESULT; HOWEVER, THIS INFORMATION DID NOT IDENTIFY THE CAUSE OF THE FALSELY ELEVATED RESULT. 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 ARCHITECT TROPONIN ASSAY PACKAGE INSERT (840637/R08) CONTAIN INFORMATION TO ADDRESS THE CUSTOMER'S CURRENT ISSUE. BASED UPON THE DATA AVAILABLE AND THE RESULTS OF THIS EVALUATION, A SINGLE DEFINITIVE CAUSE OF THE CURRENT CUSTOMER ISSUE WAS NOT ABLE TO BE DETERMINED. HOWEVER, SAMPLE PREPARATION AND/OR INADEQUATE SAMPLE VOLUME ARE NOT TO BE RULED OUT AS POTENTIAL CAUSES OF THE CUSTOMER ISSUE. A PRODUCT DEFICIENCY WAS NOT IDENTIFIED.

Description of Event or Problem · 1

THE CUSTOMER STATES THAT A FALSE POSITIVE ARCHITECT STAT TROPONIN-I ASSAY RESULT OF 0.34 NG/ML WAS GENERATED ON AN ARCHITECT I2000SR ANALYZER (SN (B)(4)) AND REPORTED FROM THE LAB. THIS LAB USES A CUT-OFF VALUE OF 0.30 NG/ML. THE SAMPLE WAS RETESTED ON ANOTHER ARCHITECT I2000SR ANALYZER (SN (B)(4)) AND GENERATED A NEGATIVE RESULT OF 0.09 NG/ML. THE SAMPLE WAS THEN RETESTED ON THE INITIAL ANALYZER AND GENERATED A RESULT OF 0.013 NG/ML. THIS CORRECTED RESULT WAS REPORTED FROM THE LAB WITHIN AN HOUR OF THE INITIAL REPORTED RESULT. THE CUSTOMER OBSERVED THAT THE PLASMA SAMPLE WAS GROSSLY HEMOLYZED AND WAS POURED OFF INTO A MICRO-SAMPLE CUP FOR ANALYSIS. A REPEAT EKG WAS ALSO PERFORMED ON THE PATIENT WITH NO CHANGE FROM THE INITIAL (NO FURTHER INFORMATION PROVIDED). THERE WAS NO FURTHER IMPACT TO THE PATIENT REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 ARCH I2000SR LN: 03M74-01 SN: (B)(4)| ARCH STAT TROP-I LN:02K41 LOT: 03031UN11| ARCH STAT TROPONIN-I LN: 02K41 LOT: UNK