FDA Adverse Event Malfunction Summary report: N

CLINICAL CHEMISTRY PHENOBARBITAL

MDR report key: 2863526 · Received December 10, 2012

Report

Report Number
1628664-2012-00505
Event Type
Malfunction
Date Received
December 10, 2012
Report Date
November 12, 2012
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
LGQ
Removal / Correction Number
1628664-11/19/12-001-R
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE INVESTIGATION DETERMINED THREE LOTS OF PHENOBARBITAL REAGENT (52803UN12, 62299UN12, AND 85773UN12) HAVE EXHIBITED INCREASED IMPRECISION ASSOCIATED WITH THE AGING OF THE REAGENTS. THE ISSUE IS DRIVEN BY FLOCCULATION IN THE R2 REAGENT. CUSTOMERS HAVE BEEN INSTRUCTED TO DISCONTINUE USE OF THESE THREE LOTS AND DESTROY ANY REMAINING INVENTORY. A REPLACEMENT LOT WITH REDUCED DATING IS AVAILABLE TO CUSTOMERS.

Description of Event or Problem · 1

THE CUSTOMER OBSERVED FLUCTUATIONS IN CALIBRATION FOR PHENOBARBITAL ON AN ARCHITECT C8000 ANALYZER. THERE WAS NO ADVERSE IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CLINICAL CHEMISTRY PHENOBARBITAL LGQ ABBOTT MANUFACTURING INC 85773UN12

Patients

Seq Age Sex Outcome Treatment
1 ARCH C8000: LN 01G06-01, SN (B)(4)