FDA Adverse Event Malfunction Summary report: N

CELL-DYN 3700 SL ANALYZER

MDR report key: 2874013 · Received December 14, 2012

Report

Report Number
2919069-2012-00082
Event Type
Malfunction
Date Received
December 14, 2012
Report Date
December 3, 2012
Manufacturer
ABBOTT DIAGNOSTICS DIVISION
Product Code
GKZ
PMA / PMN Number
K980614
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

FURTHER INVESTIGATION OF THE CUSTOMER ISSUE INCLUDED A REVIEW OF THE COMPLAINT TEXT, EVALUATION OF THE INSTRUMENT BY THE ABBOTT FIELD SERVICE ENGINEER (FSE), A SEARCH FOR SIMILAR COMPLAINTS, AND A REVIEW OF LABELING. THE FSE RESOLVED THE ISSUE BY REPLACING THREE (3) SOLENOID VALVES AND THE HGB LINE TUBING. TRACKING AND TRENDING DID NOT IDENTIFY AN ADVERSE TREND. LABELING WAS REVIEWED AND FOUND TO BE ADEQUATE. BASED ON THE AVAILABLE INFORMATION A DEFICIENCY OF THE CELL-DYN 3700SL ANALYZER, LIST NUMBER 02H31, WAS NOT IDENTIFIED.

Additional Manufacturer Narrative · 1

(B)(4). AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Description of Event or Problem · 1

THE CUSTOMER OBSERVED FALSELY ELEVATED WBC COUNTS FOR ONE PATIENT WHILE USING THE CELL-DYN 3700SL ANALYZER. THE CUSTOMER INDICATED AN INITIAL RESULT OF 1520 (UNIT OF MEASURE NOT PROVIDED) AND A RETEST RESULT OF 370, WHICH WAS DEEMED CORRECT. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED DUE TO THESE RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CELL-DYN 3700 SL ANALYZER GKZ ABBOTT DIAGNOSTICS DIVISION

Patients

Seq Age Sex Outcome Treatment
1