FDA Adverse Event Malfunction Summary report: N

ARCHITECT ANTI-HCV

MDR report key: 3113600 · Received May 15, 2013

Report

Report Number
3002809144-2013-00126
Event Type
Malfunction
Date Received
May 15, 2013
Report Date
May 8, 2013
Manufacturer
ABBOTT GERMANY
Product Code
MZO
PMA / PMN Number
P050042
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(6). THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, ARCHITECT ANTI-HCV, LIST 06C37, THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE U.S., ARCHITECT ANTI-HCV, LIST 01L79. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Additional Manufacturer Narrative · 1

FURTHER INVESTIGATION OF THE CUSTOMER ISSUE INCLUDED A REVIEW OF THE COMPLAINT TEXT, SPECIFICITY AND SENSITIVITY TESTING, A SEARCH FOR SIMILAR COMPLAINTS, AND A REVIEW OF LABELING. A RETAINED KIT OF (B)(6) REAGENT LOT 23706LI00 WAS CALIBRATED, AND CALIBRATORS AND CONTROLS MET SPECIFICATIONS. TWO HUNDRED NINETY-NINE REPLICATES OF POSITIVE CONTROL ACROSS THREE INSTRUMENTS GENERATED CONTROL VALUES IN THE TYPICAL RANGE. SENSITIVITY PANELS WERE RUN AND MET SPECIFICATIONS. TRACKING AND TRENDING IDENTIFIED NO ADVERSE TRENDS FOR THE CUSTOMER'S ISSUE. LABELING WAS REVIEWED AND FOUND TO BE ADEQUATE. BASED ON THE INVESTIGATION, NO PRODUCT DEFICIENCY WAS IDENTIFIED.

Description of Event or Problem · 1

THE CUSTOMER STATED AN ARCHITECT I2000SR ANALYZER GENERATED A (B)(6) RESULT FOR ONE PATIENT SAMPLE. THE ARCHITECT GENERATED AN INITIAL (B)(6) RESULT OF (B)(6). THE SAMPLE WAS RECENTRIFUGED AND GENERATED A (B)(6) RESULT OF (B)(6). THE PATIENT HAD A HISTORY OF (B)(6) RESULTS. THE (B)(6) RESULT WAS NOT REPORTED OUTSIDE THE LABORATORY AND THERE WAS NO ADVERSE IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
215571 ARCHITECT ANTI-HCV MZO ABBOTT GERMANY 23706LI00

Patients

Seq Age Sex Outcome Treatment
1 ARCHITECT I2000SR ANALYZER| ARCHITECT I2000SR ANALYZER| LN 03M74-01 SN (B)(4)| LN 03M74-01 SN (B)(4)